| Paolucci Family Dentist | |
|
931 Smith St Providence RI 02908-2704 | |
| (401) 521-5528 | |
| (401) 521-5540 |
| Full Name | Paolucci Family Dentist |
|---|---|
| Speciality | Dentist |
| Location | 931 Smith St, Providence, Rhode Island |
| Authorized Official Name and Position | Anthony D Paolucci (DENTIST) |
| Authorized Official Contact | 4015215528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paolucci Family Dentist 931 Smith St Providence RI 02908-2704 Ph: (401) 521-5528 | Paolucci Family Dentist 931 Smith St Providence RI 02908-2704 Ph: (401) 521-5528 |
| NPI Number | 1205936564 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205936564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D2160 (Rhode Island) | Primary |
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