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Contact Information

ANTHONY R PETITO, DDS, MD
400 MASSASOIT AVE
SUITE 103
EAST PROVIDENCE, RI02914-2012
 Phone: 401-919-5560
 Fax: 401-919-5740
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for ANTHONY R PETITO · (Male)

NPI Number 1760430730
Status Active
Credentials DDS, MD
Entity Individual
Enumeration date 05/04/2006
Last updated 03/01/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • RI License # 02552
  • RI License # MD09730
  • RI Medicaid 7006548
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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