Provider Demographics
NPI:1467640573
Name:FIOLA, CAROL A (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:A
Last Name:FIOLA
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 1:2760 SE 17TH ST STE 600
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5561
Mailing Address - Country:US
Mailing Address - Phone:352-867-7797
Mailing Address - Fax:352-867-5353
Practice Address - Street 1:2760 SE 17TH ST STE 600
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5561
Practice Address - Country:US
Practice Address - Phone:352-867-7797
Practice Address - Fax:352-867-5353
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN180381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice