Provider Demographics
NPI:1760655286
Name:CARANTO, MARK E
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:E
Last Name:CARANTO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9567 S GESSNER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3813
Mailing Address - Country:US
Mailing Address - Phone:713-981-0025
Mailing Address - Fax:713-981-1660
Practice Address - Street 1:9567 S GESSNER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3813
Practice Address - Country:US
Practice Address - Phone:713-981-0025
Practice Address - Fax:713-981-1660
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX187431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice