Healthcare Provider Details

I. General information

NPI: 1972994176
Provider Name (Legal Business Name): ALAN CARLOTTO DMD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2015
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 CENTRE ST STE 209
NEWTON MA
02459-2415
US

IV. Provider business mailing address

221 GROVE ST # 1
AUBURNDALE MA
02466-2271
US

V. Phone/Fax

Practice location:
  • Phone: 203-592-6955
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN1857499
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: