Provider Demographics
NPI:1477982551
Name:CABRET-CARLOTTI, MICHELLE (MD, DDS)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:CABRET-CARLOTTI
Suffix:
Gender:F
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7930 E THOMPSON PEAK PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7403
Mailing Address - Country:US
Mailing Address - Phone:480-947-7700
Mailing Address - Fax:480-513-8788
Practice Address - Street 1:7930 E THOMPSON PEAK PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7403
Practice Address - Country:US
Practice Address - Phone:480-947-7700
Practice Address - Fax:480-513-8788
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ56001223S0112X
AZ30196174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery