Provider Demographics
NPI:1073714135
Name:CIOTTI, CAROLINE ESTHER (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:ESTHER
Last Name:CIOTTI
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 1:4512 OLD ENGLISH CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5520
Mailing Address - Country:US
Mailing Address - Phone:757-460-4512
Mailing Address - Fax:
Practice Address - Street 1:4512 OLD ENGLISH CIR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5520
Practice Address - Country:US
Practice Address - Phone:757-460-4512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401008366122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist