Provider Demographics
NPI:1831525542
Name:MOLINARI, CAROLINE J (DMD)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:J
Last Name:MOLINARI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:J
Other - Last Name:KOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:3685 TAMPA RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-6307
Mailing Address - Country:US
Mailing Address - Phone:813-699-5650
Mailing Address - Fax:
Practice Address - Street 1:3685 TAMPA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-6307
Practice Address - Country:US
Practice Address - Phone:813-699-5650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 204121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice