IndividualActive
Nathan Carillo, DDS
NPI 1841647294 · Dental Anesthesiology · Louisville, CO
Provider details
- NPI number
- 1841647294
- Entity type
- Individual
- Primary specialty
- Dental AnesthesiologyDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DEN.00204375 (CO)
Specialties & taxonomies
Dental Providers
Student, Health Care
Practice location
357 Mccaslin Blvd Ste 200
Louisville, CO 80027-2932
Phone: (970) 699-8954
Approximate (ZIP-level) locationGet directions
Mailing address
357 Mccaslin Blvd Ste 200
Louisville, CO 80027-2932
Additional practice locations (1)
- 1400 Pelham Parkway SouthJacobi Medical CenterBronx, NY 10461Phone: (718) 918-5000
Registry dates
- Enumerated
- 2016-05-16
- Last updated
- 2020-11-02
- Certified
- 2020-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.