Provider Demographics
NPI:1487056370
Name:CARPIAUX, WESTON JAMES (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:WESTON
Middle Name:JAMES
Last Name:CARPIAUX
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 FOOTHILL BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-3223
Mailing Address - Country:US
Mailing Address - Phone:909-833-7035
Mailing Address - Fax:
Practice Address - Street 1:929 FOOTHILL BLVD STE F
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-3223
Practice Address - Country:US
Practice Address - Phone:909-833-7035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA635291223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics