Provider Demographics
NPI:1316728876
Name:CARL BERNSTEIN DDS, PLLC
Entity type:Organization
Organization Name:CARL BERNSTEIN DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:919-233-0668
Mailing Address - Street 1:540 NEW WAVERLY PL STE 110
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7422
Mailing Address - Country:US
Mailing Address - Phone:919-233-0668
Mailing Address - Fax:919-233-8135
Practice Address - Street 1:540 NEW WAVERLY PL STE 110
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7422
Practice Address - Country:US
Practice Address - Phone:919-233-0668
Practice Address - Fax:919-233-8135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty