Active NPIIndividual provider

Ms. Gayle M Pezzulo, DMD

Dentist in South Boston, Massachusetts

NPI Number1902925456
Practice location
500 East Broadway, South Boston, MA 02127
Fax
617-268-8894
Last updated
July 8, 2007

Gayle M Pezzulo is a Dentist based in South Boston, MA. Gayle M Pezzulo practices in South Boston, MA and has the professional credentials of DMD. The NPI Number for Gayle M Pezzulo is 1902925456 and holds a License No. 18328 (MA). The current practice location address for Gayle M Pezzulo is 500 East Broadway, South Boston, MA 02127 and can be reached out via phone at 617-268-2333 and via fax at 617-268-8894.

Provider Profile Details

NPI Number
1902925456
Provider Name
Gayle M Pezzulo
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
500 East Broadway, South Boston, MA 02127
Phone Number
617-268-2333
Fax Number
617-268-8894
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 East Broadway
South Boston, MA 02127
Zip
02127
Phone Number
617-268-2333
Fax Number
617-268-8894
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
500 East Broadway
South Boston, MA 02127
City
South Boston
State
MA
Zip
02127
Phone Number
617-268-2333
Fax Number
617-268-8894

License Information

License Number
18328
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

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

Other Dentists near South Boston, MA

View all Dentists in South Boston →

Frequently Asked Questions

What is the NPI number of Ms. Gayle M Pezzulo, DMD?

The NPI number of Ms. Gayle M Pezzulo, DMD is 1902925456. It was assigned on March 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Gayle M Pezzulo, DMD?

Ms. Gayle M Pezzulo, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 18328.

Where does Ms. Gayle M Pezzulo, DMD practice?

The practice location is 500 East Broadway, South Boston, MA 02127. The office can be reached at 617-268-2333 (phone) or 617-268-8894 (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 1902925456 directly on the NPPES registry website.

Browse related providers