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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861686198 NPPES
New York MEDICAID 01036084

Popular Providers