Active NPIIndividual providerSole proprietor

Dr. Thomas G Depetrillo, DMD

Dentist, General Practice in Providence, Rhode Island

NPI Number1265549091
Practice location
425 Angell St, Providence, RI 02906-4403
Fax
—
Last updated
July 8, 2007

Thomas G Depetrillo is a Dentist, General Practice based in Providence, RI. Thomas G Depetrillo practices in Providence, RI and has the professional credentials of DMD. The NPI Number for Thomas G Depetrillo is 1265549091 and holds a License No. 2360 (RI). The current practice location address for Thomas G Depetrillo is 425 Angell St, Providence, RI 02906-4403 and can be reached out via phone at 401-272-2331.

Provider Profile Details

NPI Number
1265549091
Provider Name
Thomas G Depetrillo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
425 Angell St, Providence, RI 02906-4403
Phone Number
401-272-2331
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Angell St
Providence, RI 02906-4403
Zip
02906-4403
Phone Number
401-272-2331
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
425 Angell St
Providence, RI 02906-4403
City
Providence
State
RI
Zip
02906-4403
Phone Number
401-272-2331

License Information

License Number
2360
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. Thomas G Depetrillo, DMD?

The NPI number of Dr. Thomas G Depetrillo, DMD is 1265549091. It was assigned on August 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Thomas G Depetrillo, DMD?

Dr. Thomas G Depetrillo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in RI under license number 2360.

Where does Dr. Thomas G Depetrillo, DMD practice?

The practice location is 425 Angell St, Providence, RI 02906-4403. The office can be reached at 401-272-2331 (phone).

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 1265549091 directly on the NPPES registry website.

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