Charles Michael Guizzotti, D.D.S.
Individual provider Active NPI General Practice Dentistry · Carthage, NC
NPI 1811058563 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811058563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8115 (NC)
- Practice address
- 4824 Highway 15-501
Carthage, NC 28327-1299 - Phone
- (910) 947-2411
- Fax
- (910) 947-2719
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160309002098 | NC | Order and Referring Only - Dentist |
3678879186 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8115 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles M. Guizzotti, D.D.S., P.a. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8115 | NC | Yes |
Addresses
Primary practice location
4824 Highway 15-501
Carthage, NC 28327-1299
Mailing address
2107 Crigan Bluff Dr
Cary, NC 27513-8352
Phone (919) 234-3554
Other providers in Carthage, NC
- Lacey Alton Garner Jr.
- Claudia Gasca-Abella
- Gentle Touch Home Care
- Gentle Touch Home Care
- Kay Edgeworth Graner
- Micah Jonathan Haddleton
- Hand in Hand Therapy PLLC
- Harris Teeter, LLC
- Virginia Woodlief Hobgood
- Lindsey Marie Honey
All providers in Carthage, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.