Provider Demographics
NPI:1790823623
Name:MARK E. CARANTO D.D.S.,P.A
Entity Type:Organization
Organization Name:MARK E. CARANTO D.D.S.,P.A
Other - Org Name:DENTAL SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-981-0025
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX187431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty