David Anthony Pezzullo in Providence - Periodontics
David Anthony Pezzullo - NPI 1831101989
David Anthony Pezzullo is a Periodontics in Providence, Rhode Island. David Anthony Pezzullo practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David Anthony Pezzullo is 1831101989. The last update date is 2007-07-08.
David Anthony Pezzullo's current location address is 400 Reservoir Ave, Providence, Rhode Island. You can contact this provider via phone number 4017813393 and fax number 4017813408. The mailing address for David Anthony Pezzullo is 400 Reservoir Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Anthony Pezzullo |
|---|---|
| Address | 400 Reservoir Ave, Providence, Rhode Island |
| Phone Number | 4017813393 |
| Fax Number | 4017813408 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1831101989 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 Reservoir Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 2907 |
| Phone Number | 4017813393 |
| Fax Number | 4017813408 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DEN1851 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Anthony Pezzullo by the Centers for Medicare & Medicaid Services?
The David Anthony Pezzullo has been issued the NPI (National Provider Identifier) 1831101989 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where David Anthony Pezzullo's facilities are situated?
The facilities of David Anthony Pezzullo are physically located at the following address: 400 Reservoir Ave, Providence, RI, 2907.
What is David Anthony Pezzullo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Anthony Pezzullo is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831101989 to David Anthony Pezzullo?
The David Anthony Pezzullo received its 1831101989 assignment from the Centers for Medicare & Medicaid Services on 2006-08-13.
As of what date was the information regarding David Anthony Pezzullo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Anthony Pezzullo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.