Healthcare Provider Details

I. General information

NPI: 1578335337
Provider Name (Legal Business Name): CARNAGGIO AND PIPER DMD MS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 MALCOLM BLVD
CONNELLY SPRINGS NC
28612-7918
US

IV. Provider business mailing address

3055 S NC 127 HWY
HICKORY NC
28602-8284
US

V. Phone/Fax

Practice location:
  • Phone: 828-294-1448
  • Fax: 828-449-8767
Mailing address:
  • Phone: 828-294-1448
  • Fax: 828-449-8767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: MELISSA D GRIFFIN
Title or Position: MANAGER
Credential:
Phone: 828-294-1448