Paul S Decarlo Jr. D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN5468 Issued in FL

Legal business name

PAUL S DECARLO JR. D.D.S., P.A.

Practice address

47 Barkley Circle S.W.
Ft . Myers, FL 33909-7597

Phone

(239) 936-5252

Fax

(239) 936-0306

NPI assigned

May 24, 2007

Last updated

Apr 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul S Decarlo Jr.NPI 1013161736

Title

Dr.

Phone

(239) 936-5252

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Samuel Decarlo Jr., D.D.S., P.A.

  • Dentist
  • Fort Myers, FL
  • NPI 1013161736
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1457562241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 BARKLEY CIRCLE S.W.",
            "city": "FT . MYERS",
            "state": "FL",
            "postal_code": "339097597",
            "telephone_number": "239-936-5252",
            "fax_number": "239-936-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 BARKLEY CIRCLE S.W.",
            "city": "FT . MYERS",
            "state": "FL",
            "postal_code": "339097597",
            "telephone_number": "239-936-5252",
            "fax_number": "239-936-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S DECARLO JR. D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "DECARLO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "239-936-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN5468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Patton, BA
• Kelsey Patton, RN BSN, MSNA
• Nilima A. Patwardhan, M.D.
• Bruce A. Patzwahl, PA-C
• Neil E. Pauker, M.D.
• Josette Paul-Dorestin
• Charlene Paul, LPN
• James Joseph Paul
• Jennifer J Paul, RN CNOR CRNFA
• Steven Aaron Paul, MD

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.