Carlesimo, Peter Daniel

Carlesimo, Peter Daniel is an individual health care provider with primary practice located at 3490 Lancaster Dr Ne , Salem OR 97305-1356. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Carlesimo, Peter Daniel can be contacted via phone (855) 433-6825.

Contact Information

Primary practice address

3490 Lancaster Dr Ne Salem OR 97305-1356

Phone: (855) 433-6825

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	DE61007889	Washington
Dental Providers / Dentist	122300000X	D9514	Oregon

Profile Details

NPI number	1902898307
LBN Legal business name	Carlesimo, Peter Daniel
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 22nd, 2005
Last updated	Oct 6th, 2022 - about 4 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1902898307	NPPES
Oregon	Other	D9514	DENTIST LICENSE

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