Active NPIIndividual provider

Dr. Jamie M Italiane-Decubellis, DDS

Dentist, General Practice in Coventry, Rhode Island

NPI Number1063498525
Practice location
325 S Main St, Coventry, RI 02816-5911
Fax
401-828-7125
Last updated
December 15, 2008

Jamie Michele Italiane-Decubellis is a Dentist, General Practice based in Coventry, RI. Jamie Michele Italiane-Decubellis practices in Coventry, RI and has the professional credentials of DDS. The NPI Number for Jamie Michele Italiane-Decubellis is 1063498525 and holds a License No. 02807 (RI). The current practice location address for Jamie Michele Italiane-Decubellis is 325 S Main St, Coventry, RI 02816-5911 and can be reached out via phone at 401-828-7070 and via fax at 401-828-7125.

Provider Profile Details

NPI Number
1063498525
Provider Name
Jamie Michele Italiane-Decubellis
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
325 S Main St, Coventry, RI 02816-5911
Phone Number
401-828-7070
Fax Number
401-828-7125
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
December 16, 2005
Last Update Date
December 15, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
325 S Main St
Coventry, RI 02816-5911
Zip
02816-5911
Phone Number
401-828-7070
Fax Number
401-828-7125
Coventry, RI 02816Get directions →

Provider Business Mailing Address Details

Address
325 S Main St
Coventry, RI 02816-5911
City
Coventry
State
RI
Zip
02816-5911
Phone Number
401-828-7070
Fax Number
401-828-7125

License Information

License Number
02807
License State
RI
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jamie M Italiane-Decubellis, DDS?

The NPI number of Dr. Jamie M Italiane-Decubellis, DDS is 1063498525. It was assigned on December 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jamie M Italiane-Decubellis, DDS?

Dr. Jamie M Italiane-Decubellis, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in RI under license number 02807.

Where does Dr. Jamie M Italiane-Decubellis, DDS practice?

The practice location is 325 S Main St, Coventry, RI 02816-5911. The office can be reached at 401-828-7070 (phone) or 401-828-7125 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063498525 directly on the NPPES registry website.

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