Provider Demographics
NPI:1558570986
Name:LOUIS F CLARIZIO DDS PA
Entity Type:Organization
Organization Name:LOUIS F CLARIZIO DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:CLARIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-436-8222
Mailing Address - Street 1:566 ISLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4213
Mailing Address - Country:US
Mailing Address - Phone:603-436-8222
Mailing Address - Fax:
Practice Address - Street 1:566 ISLINGTON ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4213
Practice Address - Country:US
Practice Address - Phone:603-436-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH21551223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHT25552Medicare UPIN