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Contact Information

CARMINE L TISO, DDS
9530 MAIN ST
CLARENCE, NY14031
 Phone: 716-759-2255
 Fax: 716-759-1318
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CARMINE L TISO · (Male)

NPI # 1174652994
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/05/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 036870
  • NY Other 00072046001 BLUE CROSS SHIELD
  • NY Other 4000196 INDEPENDENT HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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