MEDICARE: DR CARLO A CIARAMITARO PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1356069645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR CARLO A CIARAMITARO PC

Provider Business Mailing Address
First Line	:	3308 AUBURN RD
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-3310
Country	:	US
Telephone Number	:	248-852-5222
Fax Number	:	248-852-5223

Provider Business Practice Location Address
First Line	:	3308 AUBURN RD
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-3310
Country	:	US
Telephone Number	:	248-852-5222
Fax Number	:	248-852-5223

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CARLO ANTHONY CIARAMITARO
Credential	:	DDS
Telephone Number	:	248-852-5222

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	08/22/2022

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