NPI 1023633823

Michael Robert Gallucci, DMD

Practitioner Dentist Cranston, RI

Practice location

Address: 1249 Oaklawn Ave, Cranston, RI 02920-2621
Phone: (401) 463-8000

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DEN03505 (RI)

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Registry record

NPI: 1023633823
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2020
Record last updated: 12 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.