IndividualActive
Lee Carrasco, MD DDS
NPI 1013946540 · Oral & Maxillofacial Surgery (D.M.D.) · Philadelphia, PA
Provider details
- NPI number
- 1013946540
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD DDS
- Sex
- Male
- Sole proprietor
- No
- License
- MD418924 (PA)
Practice location
3400 Spruce Street
5 White Building
Philadelphia, PA 19104
Phone: (215) 662-3580
Mailing address
3400 Spruce Street
Philadelphia, PA 19104
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2013-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.