Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DEN03391 | RI |
NPI | 1003309618 |
---|---|
Provider Name | Joey Napolitano |
First Address | Canton, MA 02021-4190 |
Second Address | South Kingstown, RI 02879-3214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2018 |
Last Update Date | 08/06/2018 |