Active NPI
Patrick L Gadola, DDS, PC
- General Practice Dentistry
- Charlotte, MI
National Provider Identifier
1164546008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901015601
- Legal business name
- PATRICK L GADOLA, DDS, PC
- Practice address
- 204 S Bostwick St
Charlotte, MI 48813-1801 - Phone
- (517) 543-2820
- Fax
- (517) 543-0297
- NPI assigned
- Mar 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick Laurence Gadola, DDS
- Title
- President
- Phone
- (517) 321-8186
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901015601 | MI | Primary |
Addresses
Primary practice location
204 S Bostwick St
Charlotte, MI 48813-1801
Mailing address
204 S Bostwick St
Charlotte, MI 48813-1801
Phone (517) 543-2820
Other names 1
- Charlotte Family Dentristy
National Provider Directory
National Provider DirectoryLocations
204 S Bostwick St
Charlotte, MI 48813
Phone (313) 505-4573
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Charlotte, MI
- NPI 1386707016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276560000000",
"number": "1164546008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 S BOSTWICK ST",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488131801",
"telephone_number": "517-543-2820",
"fax_number": "517-543-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S BOSTWICK ST",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488131801",
"telephone_number": "517-543-2820",
"fax_number": "517-543-0297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK L GADOLA, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-18",
"last_updated": "2010-06-15",
"status": "A",
"authorized_official_last_name": "GADOLA",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "LAURENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "517-321-8186",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901015601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Charlotte Family Dentristy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.