DR. MICHAEL ROBERT GALLUCCI (NPI# 1023633823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023633823 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ROBERT GALLUCCI |
| Credential | DMD |
| Practice Address |
351 Budlong Rd Cranston RI 02920-6001 |
| Mailing Address |
5 Lovegreen Ln East Greenwich RI 02818-1163 |
| Practice Telephone | 4019424350 |
| Mailing Telephone | 4015333108 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DEN03505 | RI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1249 Oaklawn Ave, Cranston, RI 029202621 | 4014638000 | |
| 915 Oaklawn Ave, Cranston, RI 029202638 | 4019425252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134340516 | Michael Gallucci | Physical Therapist | 51 S Route 9w, West Haverstraw, NY 10993-1055 | 2007-05-01 |
| Street Address |
351 BUDLONG RD |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114944006 | Usha Panneerselvam | Internal Medicine | 351 Budlong Rd, Cranston, RI 02920-6001 | 2006-07-16 |
| 1487936944 | Walter Lada Jr. | Dentist | 351 Budlong Rd, Cranston, RI 02920-6001 | 2011-09-12 |
| 1780740597 | Walter Lada Jr Dmd Ltd | Dentist | 351 Budlong Rd, Cranston, RI 02920-6001 | 2006-12-28 |
| 1285748871 | Woodridge Medical Associates | Medical Genetics, Ph.D. Medical Genetics | 351 Budlong Rd, Cranston, RI 02920-6001 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252498 | Cranston Family and Cosmetic Dentistry | Dentist | 30 Chapel View Blvd Ste 210, Cranston, RI 02920-3096 | 2018-04-07 |
| 1073836896 | Chapel View Family & Cosmetic Dentistry, LLC | Dentist | 30 Chapel View Boulevard, Suite 200, Cranston, RI 02920-3062 | 2010-03-08 |
| 1982765897 | Peter John D Allesandro | Dentist | 1522 Elmwood Ave, Cranston, RI 02910 | 2006-12-13 |
| 1023195732 | William Lord Delgizzo | Dentist | 30 Chapel View Boulevard, Suite 200, Chapel View Family & Cosmetic Dentistry, Cranston, RI 02920-3062 | 2006-11-01 |
| 1538277942 | Theodore George Kanelos | Dentist | 10 Crossway Road, Cranston, RI 02910 | 2006-08-26 |
| 1306950332 | Melvin David Goldfine | Dentist | 770 Resevoir Avenue, Cranston, RI 02910-4484 | 2006-08-18 |
| 1841276466 | Jonathan Michelsohn | Dentist | 795 Park Ave, Cranston, RI 02910-2036 | 2005-12-15 |
| 1841276474 | David P. Mastrostefano | Dentist | 1090 New London Ave, Cranston, RI 02920-3035 | 2005-12-15 |
| 1528429032 | Amit Mehra Dmd LLC | Dentist | 136 Phenix Ave, Cranston, RI 02920-4259 | 2016-03-10 |
| 1063817369 | Clayton Hazelton Jr. | Dentist | 1029 Reservoir Ave, Cranston, RI 02910-5134 | 2014-10-29 |
| Find all providers in CRANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.