Carocci, Samuel Dean
Carocci, Samuel Dean is an sole proprietor health care provider with primary practice located at 3523 Abbott Rd Stadium Professional Building, Orchard Park NY 14127-1710. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Carocci, Samuel Dean can be contacted via phone (716) 828-1772.Contact Information
Primary practice address
3523 Abbott Rd Stadium Professional Building
Orchard Park NY 14127-1710
Phone: (716) 828-1772
Fax: (716) 828-1773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 040775 | New York |
Profile Details
| NPI number | 1861686198 |
|---|---|
| LBN Legal business name | Carocci, Samuel Dean |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Aug 29th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861686198 | NPPES |
| New York | MEDICAID | 01036084 |
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