Robert S Gilardetti
Oral & Maxillofacial Surgeon
691 Kingstown Rd
Wakefield
, Rhode Island 02879-3015
Robert S Gilardetti
Oral & Maxillofacial Surgeon
691 Kingstown Rd
Wakefield
, Rhode Island 02879-3015
(401) 789-9758
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Robert S Gilardetti
- 691 Kingstown Rd
- Wakefield, RI
- Zip : 02879-3015
- Phone : (401) 789-9758
Second Address
- Robert S Gilardetti
- 691 Kingstown Rd
- Wakefield, RI
- Zip : 02879-3015
- Fax : (401) 789-9763
- Phone : (401) 789-9758
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 152305 | MA |
National Provider Identifier
| NPI | 1013975952 |
|---|---|
| Provider Name | Robert S Gilardetti |
| First Address | Wakefield, RI 02879-3015 |
| Second Address | Wakefield, RI 02879-3015 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2006 |
| Last Update Date | 30/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7057362 | MEDICARE ID (01) | RI |
| U70534 | (02) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.