Petito Oral Surgery
Clinic/Center, Dental in East Providence, Rhode Island
1134414154- Practice location
- 400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012
- Phone
- 401-578-1866
- Fax
- 508-336-6580
- Last updated
- June 17, 2011
Petito Oral Surgery is a healthcare organization based in East Providence, RI. Petito Oral Surgery practices in East Providence, RI. The NPI Number for Petito Oral Surgery is 1134414154 and holds a License No. 2552 (RI). The current practice location address for Petito Oral Surgery is 400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012 and can be reached out via phone at 401-578-1866 and via fax at 508-336-6580.
Provider Profile Details
- NPI Number
- 1134414154
- Provider Name
- Petito Oral Surgery
- Provider Entity Type
- Organization
- Address
- 400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012
- Phone Number
- 401-578-1866
- Fax Number
- 508-336-6580
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Anthony Rocco Petito, DDS MD · Owner · 401-578-1688
- Provider Enumeration Date
- June 17, 2011
- Last Update Date
- June 17, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Massasoit Ave
Suite 103
East Providence, RI 02914-2012 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-2012
- Phone Number
- 401-578-1866
- Fax Number
- 508-336-6580
Provider Business Mailing Address Details
- Address
- 400 Massasoit Ave
Suite 103
East Providence, RI 02914-2012 - City
- East Providence
- State
- RI
- Zip
- 02914-2012
- Phone Number
- 401-578-1866
- Fax Number
- 508-336-6580
License Information
- License Number
- 2552
- License State
- RI
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Petito Oral Surgery?
The NPI number of Petito Oral Surgery is 1134414154. It was assigned on June 17, 2011 and is currently active in the NPPES registry.
What is the specialty of Petito Oral Surgery?
Petito Oral Surgery is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in RI under license number 2552.
Where does Petito Oral Surgery practice?
The practice location is 400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012. The office can be reached at 401-578-1866 (phone) or 508-336-6580 (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 1134414154 directly on the NPPES registry website.