Provider Demographics
NPI:1902014681
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:M
Authorized Official - Last Name:ARCEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-995-5710
Mailing Address - Street 1:7601 W SAM HOUSTON PKWY S STE 500
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5218
Mailing Address - Country:US
Mailing Address - Phone:713-995-5710
Mailing Address - Fax:713-995-4143
Practice Address - Street 1:7601 W SAM HOUSTON PKWY S STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5218
Practice Address - Country:US
Practice Address - Phone:713-995-5710
Practice Address - Fax:713-995-4143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX187431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty