Provider Demographics
NPI:1982785333
Name:GAROFALO, JAMES PATRICK (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:GAROFALO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 THORNTON RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15417-9609
Mailing Address - Country:US
Mailing Address - Phone:724-785-8866
Mailing Address - Fax:724-785-2184
Practice Address - Street 1:120 THORNTON RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15417-9609
Practice Address - Country:US
Practice Address - Phone:724-785-8866
Practice Address - Fax:724-785-2184
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-022811-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice