Individual provider Active NPI

Anthony Michael Garofalo, DDS

  • Dentist
  • Charlotte, NC
National Provider Identifier
1073733192
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8891 Issued in NC
Practice address
6833 Dumbarton Dr
Charlotte, NC 28210-4251
Phone
(704) 322-6073
NPI assigned
Apr 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8891 NC Primary

Addresses

Primary practice location

6833 Dumbarton Dr
Charlotte, NC 28210-4251

Mailing address

3420 Toringdon Way Ste 310
Charlotte, NC 28277-3426
Phone (704) 540-4252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724009896 NC Order and Referring Only - DentistPractitioner - Dentist 2365755055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8891NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah J. Aten, DDS, PLLC Dentist PastSince Nov 24, 2025 Accepting new patients
Deborah Aten DDS & Anthony Garofalo DDS PLLC Dentist PastSince Nov 24, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1073733192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 TORINGDON WAY STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773426",
            "telephone_number": "704-540-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 DUMBARTON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104251",
            "telephone_number": "704-322-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROFALO",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.