Provider Demographics
NPI:1053766154
Name:TUTTLE, CAROLINE E (DMD)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:E
Last Name:TUTTLE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-3125
Mailing Address - Country:US
Mailing Address - Phone:609-799-2929
Mailing Address - Fax:
Practice Address - Street 1:330 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-3125
Practice Address - Country:US
Practice Address - Phone:609-799-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ390200000X
NJ22DI026473001223G0001X
NJ22DI026473011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program