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PAUL J. MATRULLO DDS PC NPI 1831255405


NPI Information

NPI: 1831255405
Provider Name: PAUL J. MATRULLO, DDS, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1280 PARK AVE
CRANSTON, RI
ZIP 02910
Phone: (401) 943-0644
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PAUL J. MATRULLO, DDS, PC is a general practice dentist in Cranston, RI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PAUL J. MATRULLO, DDS, PC NPI is 1831255405. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1280 PARK AVE
CRANSTON, RI
ZIP 02910-033
Phone: (401) 943-0644
Fax: (401) 943-3276

The provider's authorized official is Paul J. Matrullo .
The authorized official title is Owner and has the following contact phone number (401) 943-0644.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice1745RHODE ISLANDYes
21223G0001XDentistGeneral Practice2839RHODE ISLANDX
31223G0001XDentistGeneral Practice2842RHODE ISLANDX
41223P0300XDentistPeriodontics2637RHODE ISLANDX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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