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NPI Code Detail

MEDICARE: DR. KORIN E CARVILLE DDS

MEDICARE:  DR. KORIN E CARVILLE  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry047018NY

General Provider Information

NPI Number : 1740302462
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KORIN E CARVILLE DDS
Provider Business Mailing Address
First Line : 8 BUSINESS PARK CT
Second Line :
City : UTICA
State : NY
Zip : 13502-6308
Country : US
Telephone Number : 315-732-4688
Fax Number : 315-738-7140
Provider Business Practice Location Address
First Line : 8 BUSINESS PARK CT
Second Line :
City : UTICA
State : NY
Zip : 13502-6308
Country : US
Telephone Number : 315-732-4688
Fax Number : 315-738-7140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 07/08/2007

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Directions to “ DR. KORIN E CARVILLE DDS” Practice Location

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