DR. DAVID ANTHONY PEZZULLO DMD
NPI 1831101989
Dentist - Periodontics in Providence, RI

Active since August 13, 2006
400 RESERVOIR AVE, SUITE 3E, PROVIDENCE, RI 02907(401) 781-3393(401) 781-3408 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Anthony Pezzullo Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID ANTHONY PEZZULLO DMD (NPI 1831101989) is an individual periodontics provider in Providence, Rhode Island, licensed in Rhode Island (DEN1851) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1831101989
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DAVID ANTHONY PEZZULLOCredential: DMD
Location Address400 RESERVOIR AVE, SUITE 3EProvidence, RI 02907
Mailing Address400 Reservoir Ave, Suite 3eProvidence, RI 02907 · (401) 781-3393 · Fax (401) 781-3408
Fax(401) 781-3408
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1831101989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in RI · DEN1851
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

400 RESERVOIR AVE, Providence, RI 02907

Other Identifiers 1

Medicare UPINDP12699

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
400 RESERVOIR AVE, SUITE 2K
PROVIDENCE, RI 02907
Dentist (General Practice)
400 RESERVOIR AVE, SUITE 1D
PROVIDENCE, RI 02907
Non-Pharmacy Dispensing Site
400 RESERVOIR AVE
PROVIDENCE, RI 02907
Pharmacist (Pharmacotherapy)
400 RESERVOIR AVE, SUITE 1D COASTAL MEDICAL
PROVIDENCE, RI 02907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Pezzullo's NPI number?

The NPI number for David Pezzullo is 1831101989. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is David Pezzullo located?

David Pezzullo practices at 400 Reservoir Ave Suite 3E, Providence, RI 02907. The listed phone number is (401) 781-3393.

What is David Pezzullo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for David Pezzullo was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.