Healthcare Provider Details

I. General information

NPI: 1861899288
Provider Name (Legal Business Name): CATALDO & DORION DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 12/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W MILLBROOK RD
RALEIGH NC
27609-4500
US

IV. Provider business mailing address

202 W MILLBROOK RD
RALEIGH NC
27609-4500
US

V. Phone/Fax

Practice location:
  • Phone: 919-703-0601
  • Fax:
Mailing address:
  • Phone: 919-703-0601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number8503
License Number StateNC

VIII. Authorized Official

Name: CRAIG DORION
Title or Position: OWNER
Credential: DDS
Phone: 919-621-0183