Taxonomy Code 1223P0300X(1223p0300x)
Periodontist. Providers: 10

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Periodontist Providers

NPI Name Type Address

1831101989

DR. DMD David Anthony Pezzullo

Individual

400 Reservoir Ave

Suite 3e

Providence, RI

1467465054

DR. DDS Denise M Shapiro

Individual

40 Elmgrove Avenue

Providence, RI

1225185747

DR. DDS Steven Jay Peiser

Individual

324 Angell St

Providence, RI

1699828640

DR. DMD Peter Payne

Individual

151 Waterman St

Providence, RI

1205980604

DR. DMD Donald Michael Kallio

Individual

16 Bridge St

Corliss Landing

Providence, RI

1841403953

DR. DMD John G. Broderick

Individual

167 Gano St

Providence, RI

1982810214

DR. DDS Scott Mark Fertik

Individual

167 Gano St

Providence, RI

1477736452

City Dental, Llc

Organization

314f Pocasset Avenue

Providence, RI

1639271554

DR. DMD Jeffrey Bram Shapiro

Individual

189 Governor St

Providence, RI

1801206677

Periodontal Associates, Ltd.

Organization

189 Governor St

Providence, RI

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1223P0300X
Specialization Periodontics
Display Name Periodontist
Taxonomy Group Dental Providers
Taxonomy Classification Dentist
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.
Effective Date September 30, 2009
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Dentist Codes

Dentist

122300000X • providers: 112,055

Dentist Anesthesiologist

1223D0004X • providers: 400

Endodontist

1223E0200X • providers: 8,219

General Practice Dentistry

1223G0001X • providers: 163,497

Oral and Maxillofacial Pathology Dentist

1223P0106X • providers: 875

Oral and Maxillofacial Radiology Dentist

1223X0008X • providers: 179

Oral and Maxillofacial Surgery (Dentist)

1223S0112X • providers: 11,442

Orofacial Pain Dentist

1223X2210X • providers: 99

Orthodontics and Dentofacial Orthopedic Dentist

1223X0400X • providers: 18,668

Pediatric Dentist

1223P0221X • providers: 14,509

Prosthodontist

1223P0700X • providers: 4,181

Public Health Dentist

1223D0001X • providers: 1,563