Provider Demographics
NPI:1710060181
Name:JAMES P. GAROFALO, D.D.S., LLC
Entity Type:Organization
Organization Name:JAMES P. GAROFALO, D.D.S., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:GAROFALO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-785-8866
Mailing Address - Street 1:120 THORNTON RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15417-9609
Mailing Address - Country:US
Mailing Address - Phone:724-785-8866
Mailing Address - Fax:724-785-2184
Practice Address - Street 1:120 THORNTON RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15417-9609
Practice Address - Country:US
Practice Address - Phone:724-785-8866
Practice Address - Fax:724-785-2184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-022811-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADS-022811-LOtherDENTIST