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

SpecialtyCodeLicense #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 2 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

StateTypeNumberIssuer
All States NPI 1902898307 NPPES
Oregon Other D9514 DENTIST LICENSE

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