Active NPIIndividual providerSole proprietor

Dr. Henri P Carbonneau Jr., DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Andover, Connecticut

NPI Number1548374762
Practice location
159 Lakeside Dr, Andover, CT 06232-1535
Fax
—
Last updated
October 2, 2012

Henri Paul Carbonneau is a Dentist, Orthodontics and Dentofacial Orthopedics based in Andover, CT. Henri Paul Carbonneau practices in Andover, CT and has the professional credentials of DMD. The NPI Number for Henri Paul Carbonneau is 1548374762 and holds a License No. 4052 (CT). The current practice location address for Henri Paul Carbonneau is 159 Lakeside Dr, Andover, CT 06232-1535 and can be reached out via phone at 860-742-7144.

Provider Profile Details

NPI Number
1548374762
Provider Name
Henri Paul Carbonneau
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
159 Lakeside Dr, Andover, CT 06232-1535
Phone Number
860-742-7144
Sole Proprietor
Yes
Other Names
Dr. Henri Paul Carbonneau, DMD (Professional Name)
Provider Enumeration Date
August 17, 2006
Last Update Date
October 2, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
159 Lakeside Dr
Andover, CT 06232-1535
Zip
06232-1535
Phone Number
860-742-7144
Andover, CT 06232Get directions →

Provider Business Mailing Address Details

Address
159 Lakeside Dr
Andover, CT 06232-1535
City
Andover
State
CT
Zip
06232-1535
Phone Number
860-742-7144

License Information

License Number
4052
License State
CT
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Henri P Carbonneau Jr., DMD?

The NPI number of Dr. Henri P Carbonneau Jr., DMD is 1548374762. It was assigned on August 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Henri P Carbonneau Jr., DMD?

Dr. Henri P Carbonneau Jr., DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in CT under license number 4052.

Where does Dr. Henri P Carbonneau Jr., DMD practice?

The practice location is 159 Lakeside Dr, Andover, CT 06232-1535. The office can be reached at 860-742-7144 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548374762 directly on the NPPES registry website.

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