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
Mailing address400 Reservoir Ave, Suite 3e, Providence, RI 02907

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