Organization Active NPI

Patrick L Gadola, DDS, PC

  • General Practice Dentistry
  • Charlotte, MI
National Provider Identifier
1164546008
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015601 Issued in MI
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

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Dr. Patrick Laurence Gadola, DDSNPI 1386707016
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.