Provider Demographics
NPI:1053849232
Name:CATALDO, DOROTHY L (DMD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:L
Last Name:CATALDO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:L
Other - Last Name:CATALDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5745 PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781
Mailing Address - Country:US
Mailing Address - Phone:727-698-6684
Mailing Address - Fax:727-605-8058
Practice Address - Street 1:111 STARK AVE APT 2
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4279
Practice Address - Country:US
Practice Address - Phone:860-670-8880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-01
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAXXXXXXXXXX122300000X
FLDN240841223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentistGroup - Single Specialty