NPI 1104238559 · live from the CMS NPI Registry
Anthony Michael Paolucci
Dentist in North Providence, RI. National Provider Identifier 1104238559, active.
NPI record
| NPI | 1104238559 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1545 Smith St, North Providence, RI 02911 |
| Practice phone | 401-353-1550 |
| Enumerated | May 20, 2014 |
| Last updated | May 20, 2014 |
| Authorized official | Anthony Paolucci, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 3121 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.