Provider Demographics
NPI:1164592994
Name:CIARAMITARO, CARLO A (DDS)
Entity Type:Individual
Prefix:
First Name:CARLO
Middle Name:A
Last Name:CIARAMITARO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3308 AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3310
Mailing Address - Country:US
Mailing Address - Phone:248-852-5222
Mailing Address - Fax:
Practice Address - Street 1:3308 AUBURN RD
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-3310
Practice Address - Country:US
Practice Address - Phone:248-852-5222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010161391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice