Provider Demographics
NPI:1356069645
Name:DR CARLO A CIARAMITARO PC
Entity type:Organization
Organization Name:DR CARLO A CIARAMITARO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLO
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CIARAMITARO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-852-5222
Mailing Address - Street 1:3308 AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3310
Mailing Address - Country:US
Mailing Address - Phone:248-852-5222
Mailing Address - Fax:248-852-5223
Practice Address - Street 1:3308 AUBURN RD
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-3310
Practice Address - Country:US
Practice Address - Phone:248-852-5222
Practice Address - Fax:248-852-5223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental