Padula, Adolph Ralph
Padula, Adolph Ralph is an individual health care provider with primary practice located at 1022 Liberty Ln , Pueblo CO 81001-2039. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Padula, Adolph Ralph can be contacted via phone (719) 545-5778.Contact Information
Primary practice address
1022 Liberty Ln
Pueblo CO 81001-2039
Phone: (719) 545-5778
Fax: (719) 545-5783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 051116 | New York |
| Dental Providers / General Practice | 1223G0001X | D-3858 | Idaho |
| Dental Providers / General Practice | 1223G0001X | 22044 | Ohio |
| Dental Providers / General Practice | 1223G0001X | 12010429A | Indiana |
| Dental Providers / General Practice | 1223G0001X | 5641 | Oklahoma |
| Dental Providers / General Practice | 1223G0001X | 5641 | Arizona |
| Dental Providers / General Practice | 1223G0001X | 4778T | Nevada |
| Dental Providers / General Practice | 1223G0001X | 60210 | Kansas |
| Dental Providers / General Practice | 1223G0001X | DD2043 | New Mexico |
| Dental Providers / General Practice | 1223G0001X | 1134 | Wyoming |
| Dental Providers / General Practice | 1223G0001X | 3209 | Colorado |
| Dental Providers / General Practice | 1223G0001X | 21280 | Massachusetts |
Profile Details
| NPI number | 1881671436 |
|---|---|
| LBN Legal business name | Padula, Adolph Ralph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881671436 | NPPES |
| Massachusetts | MEDICAID | 0204889 | |
| Massachusetts | MEDICAID | 02551637 | |
| Massachusetts | MEDICAID | 2525048 | |
| Massachusetts | MEDICAID | 703167 |
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