Provider Demographics
NPI:1285662478
Name:QUARATIELLO, FRANCIS CHARLES (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:CHARLES
Last Name:QUARATIELLO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 MONZA RD
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03064-8102
Mailing Address - Country:US
Mailing Address - Phone:603-883-5426
Mailing Address - Fax:
Practice Address - Street 1:89 MAIN ST.
Practice Address - Street 2:MARLBOROUGH FAMILY DENTAL
Practice Address - City:MARLBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03455
Practice Address - Country:US
Practice Address - Phone:603-876-3357
Practice Address - Fax:603-876-3377
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30303924Medicaid