Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David Anthony Pezzullo, DMD

Individual provider Periodontics · NPI 1831101989

Dr. David Anthony Pezzullo, DMD is a Periodontics in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

400 Reservoir Ave Ste 3E
Providence, RI 02907
Phone: (401) 781-3393
Fax: (401) 781-3408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DEN1851 (RI)

Record details

NPI number1831101989
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESJuly 8, 2007

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