Pezzullo, David Anthony

Pezzullo, David Anthony is an individual health care provider with primary practice located at 400 Reservoir Ave Suite 3E, Providence RI 02907. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Pezzullo, David Anthony can be contacted via phone (401) 781-3393.

Contact Information

Primary practice address
400 Reservoir Ave Suite 3E Providence RI 02907
Phone: (401) 781-3393
Fax: (401) 781-3408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DEN1851 Rhode Island

Profile Details

NPI number 1831101989
LBN Legal business name Pezzullo, David Anthony
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 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.

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