Healthcare Provider Details

I. General information

NPI: 1861641094
Provider Name (Legal Business Name): FRANCESCO P MARATTA DMD, FACP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DR. FRANK P MARATTA

II. Dates (important events)

Enumeration Date: 09/11/2008
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CHURCH ST S STE 216
NEW HAVEN CT
06519-1717
US

IV. Provider business mailing address

2 CHURCH ST S STE 216
NEW HAVEN CT
06519-1717
US

V. Phone/Fax

Practice location:
  • Phone: 203-773-1701
  • Fax: 203-782-0370
Mailing address:
  • Phone: 203-773-1701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number010143
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number054690
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: