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Dr. Carl Louis Divita, DDS
Pediatric Dentist in Spencerport, New York
NPI 1710912274

Carl Louis Divita is a Pediatric Dentist based in Spencerport, NY and is specialized in Pediatric Dentistry. Carl Louis Divita practices in Spencerport, NY and has the professional credentials of DDS. The NPI Number for Carl Louis Divita is 1710912274 and holds a License No. 027463-1 (New York).

The current practice location address for Carl Louis Divita is 2800 Spencerport Road, Spencerport, NY and can be reached out via phone at 585-352-3627 and via fax at 585-352-1678.

Location: 2800 Spencerport Road, Spencerport, NY, 14559-2180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710912274
Provider Name
Carl Louis Divita
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2800 Spencerport Road, Spencerport, NY, 14559-2180
Phone Number
585-352-3627
Fax Number
585-352-1678
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2800 Spencerport Road
City
Spencerport
State
New York
Zip
14559-2180
Phone Number
585-352-3627
Fax Number
585-352-1678
person
Provider Business Mailing Address Details
Address
2800 Spencerport Road
City
Spencerport
State
New York
Zip
14559-2180
Phone Number
585-352-3627
Fax Number
585-352-1678
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
027463-1 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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