Active NPIIndividual provider

Dr. Anthony R Petito, DDS, MD

Oral & Maxillofacial Surgery in East Providence, Rhode Island

NPI Number1760430730
Practice location
400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012
Fax
401-919-5740
Last updated
March 1, 2012

Anthony Rocco Petito is an Oral & Maxillofacial Surgery based in East Providence, RI. Anthony Rocco Petito practices in East Providence, RI and has the professional credentials of DDS, MD. The NPI Number for Anthony Rocco Petito is 1760430730 and holds a License No. 02552 (RI). The current practice location address for Anthony Rocco Petito is 400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012 and can be reached out via phone at 401-919-5560 and via fax at 401-919-5740.

Provider Profile Details

NPI Number
1760430730
Provider Name
Anthony Rocco Petito
Credential
DDS, MD
Provider Entity Type
Individual
Gender
Male
Address
400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012
Phone Number
401-919-5560
Fax Number
401-919-5740
Primary Taxonomy
Oral & Maxillofacial Surgery · 204E00000X
Sole Proprietor
No
Provider Enumeration Date
May 4, 2006
Last Update Date
March 1, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Massasoit Ave
Suite 103
East Providence, RI 02914-2012
Zip
02914-2012
Phone Number
401-919-5560
Fax Number
401-919-5740
East Providence, RI 02914Get directions →

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
401-919-5560
Fax Number
401-919-5740

License Information

License Number (1)
02552
License State (1)
RI
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (2)
MD09730
License State (2)
RI
Taxonomy (2)
Oral & Maxillofacial Surgery · 204E00000X · 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. Anthony R Petito, DDS, MD?

The NPI number of Dr. Anthony R Petito, DDS, MD is 1760430730. It was assigned on May 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Anthony R Petito, DDS, MD?

Dr. Anthony R Petito, DDS, MD is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in RI under license number 02552.

Where does Dr. Anthony R Petito, DDS, MD practice?

The practice location is 400 Massasoit Ave, Suite 103, East Providence, RI 02914-2012. The office can be reached at 401-919-5560 (phone) or 401-919-5740 (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 1760430730 directly on the NPPES registry website.

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