NPI 1619034543 · live from the CMS NPI Registry
Dominic Ralph Caruso, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Walpole, MA. National Provider Identifier 1619034543, active.
NPI record
| NPI | 1619034543 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1350 Main St, Walpole, MA 02081 |
| Practice phone | 508-668-1500 |
| Enumerated | January 2, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 11004 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.