Dr. Carl Louis Divita is a Spencerport, New York based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Carl Louis Divita is 027463-1 for Pediatric Dentistry in New York. His current practice location is 2800 Spencerport Road, A4, Spencerport. Patients can reach him at 585-352-3627.
Dr. Carl Louis Divita provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Carl Louis Divita speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Carl Louis Divita
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
2800 Spencerport Road, A4, Spencerport, New York, 14559-2180
Phone:
585-352-3627
Fax:
585-352-1678
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1710912274
NPI Enumeration Date:
12 Jul, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Carl Louis Divita are as mentioned below.
License Number
Specialization
State
Status
027463-1
Pediatric Dentistry
New York
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2800 Spencerport Rd., Suite A4 Spencerport, New York
Zip:
14559-2180
Phone Number:
585-352-3627
Fax Number:
585-352-1678
Patients can reach Dr. Carl Louis Divita at 2800 Spencerport Road, A4, Spencerport, New York or can call to book an appointment on 585-352-3627. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.