Provider Demographics
NPI:1063525830
Name:CIARCIA, JOSEPH S (DMD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:S
Last Name:CIARCIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 NEW BRITAIN AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-1131
Mailing Address - Country:US
Mailing Address - Phone:860-529-1199
Mailing Address - Fax:860-529-3760
Practice Address - Street 1:88 NEW BRITAIN AVE
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-1131
Practice Address - Country:US
Practice Address - Phone:860-529-1199
Practice Address - Fax:860-529-3760
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7717122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT7717OtherCSDA