MEDICARE: CAROLINE J MOLINARI DMD

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	1223G0001X	General Practice Dentistry	DN 20412	FL

General Provider Information

NPI Number	:	1831525542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE J MOLINARI DMD

Provider Business Mailing Address
First Line	:	3685 TAMPA RD
Second Line	:	SUITE 100
City	:	OLDSMAR
State	:	FL
Zip	:	34677-6307
Country	:	US
Telephone Number	:	813-699-5650
Fax Number	:

Provider Business Practice Location Address
First Line	:	3685 TAMPA RD
Second Line	:	SUITE 100
City	:	OLDSMAR
State	:	FL
Zip	:	34677-6307
Country	:	US
Telephone Number	:	813-699-5650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2013
Last Update Date	:	06/10/2015

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