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NPI Code Detail

MEDICARE: DR. LOUIS MICHAEL CARRATOLA DDS

MEDICARE: DR. LOUIS MICHAEL CARRATOLA DDS
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
1122300000XDentist30017312OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2260370149027OTHEROHCARESOURCE

General Provider Information

NPI Number : 1508872284
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS MICHAEL CARRATOLA DDS
Provider Business Mailing Address
First Line : 1704 BERLIN ST
Second Line :
City : MILAN
State : OH
Zip : 44846-9521
Country : US
Telephone Number : 419-499-2472
Fax Number : 419-499-8126
Provider Business Practice Location Address
First Line : 63 E MAIN ST
Second Line :
City : NEW LONDON
State : OH
Zip : 44851-1233
Country : US
Telephone Number : 419-929-1544
Fax Number : 419-929-0402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 10/08/2010

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