Individual provider · Type 1 NPI
Michele Jillian Carunchio, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Hoboken, NJ
NPI number
1457643553
Active
Practice location
70 Hudson St Ste 7
Hoboken, NJ 07030-5618
Mailing address
362 Airmount Ave
Ramsey, NJ 07446-1225
Other practice locations
- 2100 Bartow Ave Ste 218B, Bronx, NY 10475-4614 · (718) 708-8144
- 12 E 41st St Rm 1102, New York, NY 10017-6287 · (212) 696-2677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 059187 (NY) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 290429 (NY) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 22DI02491307 (NJ) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Hoboken
About NPI 1457643553
Michele Jillian Carunchio, DDS, MD's National Provider Identifier is 1457643553, issued on May 7, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Hoboken, NJ. The record was last updated on Jul 21, 2022.