MEDICARE: CARLY T. GREENSTEIN DMD

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
1	122300000X	Dentist	22DI03080200	NJ

General Provider Information

NPI Number	:	1831944750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLY T. GREENSTEIN DMD

Provider Business Mailing Address
First Line	:	1200 LAWRENCEVILLE RD STE 2
Second Line	:
City	:	LAWRENCE TOWNSHIP
State	:	NJ
Zip	:	08648-3551
Country	:	US
Telephone Number	:	609-883-1770
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 LAWRENCEVILLE RD STE 2
Second Line	:
City	:	LAWRENCE TOWNSHIP
State	:	NJ
Zip	:	08648-3551
Country	:	US
Telephone Number	:	609-883-1770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2024
Last Update Date	:	02/10/2026

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