Michael C Ditolla DDS Professional Dental Corporation
NPI 1619543568 · General Practice Dentistry · Lodi, CA
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael C Ditolla DDS Professional Dental Corporation is a General Practice Dentistry organization in Lodi, CA (NPI 1619543568).
Provider details
- NPI number
- 1619543568
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Ditolla, President(714) 420-4053
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2024-04-02
- Certified
- 2024-04-02
Frequently asked questions
- What is Michael C Ditolla DDS Professional Dental Corporation's NPI number?
- Michael C Ditolla DDS Professional Dental Corporation's National Provider Identifier (NPI) is 1619543568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael C Ditolla DDS Professional Dental Corporation?
- Michael C Ditolla DDS Professional Dental Corporation is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Michael C Ditolla DDS Professional Dental Corporation located?
- Michael C Ditolla DDS Professional Dental Corporation's practice location on file with NPPES is 630 S Fairmont Ave Ste D, Lodi, CA 95240-3803.
- What is Michael C Ditolla DDS Professional Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Michael C Ditolla DDS Professional Dental Corporation is (714) 420-4053.
- Does Michael C Ditolla DDS Professional Dental Corporation accept Medicare?
- Michael C Ditolla DDS Professional Dental Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Michael C Ditolla DDS Professional Dental Corporation?
- The authorized official listed on Michael C Ditolla DDS Professional Dental Corporation's NPPES record is Michael Ditolla, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael C Ditolla DDS Professional Dental Corporation's NPI active?
- Yes — Michael C Ditolla DDS Professional Dental Corporation's NPI (1619543568) is active in the NPPES registry as of the last update on 2024-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.