National Provider Identifier
Carmine L Tiso, DDS
Carmine L Tiso, DDS is listed in the NPPES registry with a primary specialty of Dentist in Clarence, NY and a listed phone number of (716) 759-2255.
Profile Overview
- NPI
- 1174652994
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- March 05, 2007
- Last Updated
- July 08, 2007
Practice Location
- 9530 Main St
- Clarence, NY 14031
Phone: (716) 759-2255
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1174652994
- Entity Type
- Individual
- Last Name
- Tiso
- First Name
- Carmine
- Middle Name
- L
- Credential
- DDS
- Mailing Street Address
- 9530 Main St
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031
- Mailing Country
- US
- Mailing Phone
- (716) 759-2255
- Mailing Fax
- (716) 759-1318
- Practice Street Address
- 9530 Main St
- Practice City
- Clarence
- Practice State
- NY
- Practice ZIP Code
- 14031
- Practice Country
- US
- Practice Phone
- (716) 759-2255
- Practice Fax
- (716) 759-1318
- Enumeration Date
- March 05, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)
- Other Identifiers
- 4000196 (NY, Independent Health), 00072046001 (NY, Blue Cross Shield)