Petito, Anthony Rocco

Petito, Anthony Rocco is an individual health care provider with primary practice located at 400 Massasoit Ave Suite 103, East Providence RI 02914-2012. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Petito, Anthony Rocco can be contacted via phone (401) 919-5560.

Contact Information

Primary practice address
400 Massasoit Ave Suite 103 East Providence RI 02914-2012
Phone: (401) 919-5560
Fax: (401) 919-5740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 02552 Rhode Island
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MD09730 Rhode Island

Profile Details

NPI number 1760430730
LBN Legal business name Petito, Anthony Rocco
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 1st, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760430730 NPPES
Rhode Island MEDICAID 7006548

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