Provider Demographics
NPI:1326142977
Name:CALAT, PAUL R (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:R
Last Name:CALAT
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 1:36 W 44TH ST STE 600A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-8105
Mailing Address - Country:US
Mailing Address - Phone:212-696-2677
Mailing Address - Fax:
Practice Address - Street 1:36 W 44TH ST STE 600A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8105
Practice Address - Country:US
Practice Address - Phone:212-696-2677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046890204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY18881072866OtherNPPES
NJ1013460310OtherNPPES
NY1912405184OtherNPPES