Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carol Bolanos, DMD

Individual provider Dentist · NPI 1861536146

Dr. Carol Bolanos, DMD is a Dentist in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2007.

Licensed in
NJ, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3223 N Broad St
Philadelphia, PA 19140-5007
Phone: (215) 707-2890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS043950 (PA)
Dentist Taxonomy 122300000X · Licence 22DI02098300 (NJ)

Record details

NPI number1861536146
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 19, 2007
Last updated in NPPESJanuary 2, 2023
Certification dateJanuary 2, 2023

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