Gary Anthony Carollo, D.D.S.
Dentist · Wilmington, IL
NPI number
1063501013
Practice location
101 Fulton StWilmington, IL 60481-1694
- Phone
- (815) 476-6755
NPI record
- NPI
- 1063501013
- Entity type
- Individual (Type 1)
- Enumeration date
- October 11, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
— | IL |
About Dr. Carollo
Gary Anthony Carollo, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 101 Fulton St, Wilmington, IL 60481-1694. The NPI number 1063501013 was assigned on October 11, 2006 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Gary Anthony Carollo, D.D.S.?
The NPI number is 1063501013.
What is the phone number of Dr. Carollo?
The phone number listed for the practice location is (815) 476-6755.
Where is Dr. Carollo located?
101 Fulton St, Wilmington, IL 60481-1694.
What is the taxonomy code for Dr. Carollo?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.