Michael J Gulotta DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039658 Issued in NY

Legal business name

MICHAEL J GULOTTA DDS PLLC

Practice address

1150 Portion Rd
Ste 15
Holtsville, NY 11742-1074

Phone

(631) 696-3820

Fax

(631) 696-7780

NPI assigned

Feb 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Gulotta, DDS

Title

Owner

Phone

(631) 696-3820

Specialties & licenses 1

Addresses

Locations

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.

• Farra Marlene Isaacson, DDS

  • Dentist
  • Holtsville, NY
  • NPI 1376515387
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1508830324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PORTION RD",
            "address_2": "STE 15",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421074",
            "telephone_number": "631-696-3820",
            "fax_number": "631-696-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PORTION RD",
            "address_2": "STE 15",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421074",
            "telephone_number": "631-696-3820",
            "fax_number": "631-696-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J GULOTTA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "GULOTTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-696-3820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annmarie McCord, RN
• Jocelyn Janet McGerty, LPN
• Janet Toca McMillan, RN
• Nancy Dyan Mendoza, MSW
• Michelle Dianne Mermigas, LPN
• Kaitlyn Mikalsen
• Suzanne Marie Mikulas, M.A., TSSLD, SLP-CCC
• Michael L Miles
• Mind & Body Theraputics,Inc.
• Gina Mitchell

• General Practice Dentistry in Holtsville, NY
• Providers in Holtsville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.