DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CARL LOUIS DIVITA, D.D.S.

Active Sole Proprietor

DR. CARL LOUIS DIVITA, D.D.S. is a Pediatric Dentistry healthcare provider located in SPENCERPORT, New York. NPI 1710912274 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · SPENCERPORT, NY

Registration Details

NPI Number
1710912274
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2006 (20.135748893442 yrs)
Last Updated
Jul 8, 2007
License
027463-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
2800 SPENCERPORT ROAD
A4
SPENCERPORT, NY, 145592180
Browse NY providers · Browse ZIP 14559
Phone
5853523627
Fax
5853521678
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in SPENCERPORT, NY

Name Credential NPI
DR. TRAM DUONG DDS 1629371281
DR. AVIN GUPTA D.M.D. 1184928640
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.