MAXILLOFACIAL SURGEONS, LTD. (NPI# 1972579183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972579183 |
| Entity Type | Organization |
| Organization Name | MAXILLOFACIAL SURGEONS, LTD. |
| Other Organization Name | MSL FACIAL & ORAL SURGERY |
| Practice Address |
243 Jefferson Blvd Warwick RI 02888-3818 |
| Practice Telephone | 4017395500 |
| Practice Fax Number | 4017381550 |
| Mailing Telephone | 4017395500 |
| Mailing Fax Number | 4017381550 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ANTHONY R PETITO (PRESIDENT) |
| Authorized Official Telephone | 4017395500 |
| Authorized Official Credential | DDS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9008578 | 05 |
| Other Name | Type Code |
|---|---|
| MSL Facial & Oral Surgery | Doing Business As Name - Organization |
| Street Address |
243 JEFFERSON BLVD |
| City | WARWICK |
| State | RI |
| Zip Code | 02888-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417946898 | Frank Paletta | Dentist | 243 Jefferson Blvd, Warwick, RI 02888-3818 | 2005-10-18 |
| 1215292719 | Artistic Contours LLC | Clinic/Center | 243 Jefferson Blvd, Warwick, RI 02888-3818 | 2012-07-10 |
| 1881950509 | Facial and Oral Surgery | Dentist | 243 Jefferson Blvd, Warwick, RI 02888-3818 | 2012-04-06 |
| 1568410983 | Mohammad Banki | Dentist | 243 Jefferson Blvd, Warwick, RI 02888-3818 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644164 | Paul J Rocchio | Counselor | 2020 Elmwood Avenue Bridgemark, Inc., Warwick, RI 02888 | 2018-10-11 |
| 1184147811 | Alyssa Campagnone | Optometrist | 222 Jefferson Blvd Fl 3, Warwick, RI 02888 | 2017-07-25 |
| 1215204698 | Nicolette Fraza | Dietitian, Registered | 37 General Hawkinds Dr, Warwick, RI 02888 | 2011-11-29 |
| 1043431042 | Double Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1168 Warwick Ave, Warwick, RI 02888 | 2007-05-01 |
| 1205059037 | Richard Mark Goldenberg | Dentist | 708 Warwick Avenue, Warwick, RI 02888 | 2007-04-10 |
| 1558486068 | Richard Michael Bello | Optometrist | 1168 Warwick Avenue, Warwick, RI 02888 | 2007-03-21 |
| 1407997687 | Michael M Gooding | Dentist | 1422 Warwick Avenue, Warwick, RI 02888 | 2007-02-09 |
| 1528109246 | Kristie A. Ervanian | Counselor | 1087 Warwick Ave Rear Unit, Warwick, RI 02888 | 2007-02-08 |
| 1457417883 | Eugene Milton Dandrea | Psychologist | 1434 Warwick Avenue, Warwick, RI 02888 | 2006-12-29 |
| 1689750044 | Lucille C Vega | Family Medicine | 962 Warwick Avenue, Warwick, RI 02888 | 2006-10-28 |
| Find all providers in zip 02888 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013975952 | Robert S Gilardetti | Oral & Maxillofacial Surgery | 691 Kingstown Rd, Wakefield, RI 02879-3015 | 2006-05-02 |
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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.