Ronald a. Vitullo, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022225 Issued in OH

Legal business name

RONALD A. VITULLO, DDS, LLC

Practice address

1911 N Fairfield Rd
Suite 130
Beavercreek, OH 45432-2762

Phone

(937) 426-2253

Fax

(937) 426-7891

NPI assigned

Oct 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ronald Anthony Vitullo, D.D.S.NPI 1356423735

Title

Member

Phone

(937) 426-2253

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Anthony Vitullo, D.D.S.

  • General Practice Dentistry
  • Beavercreek, OH
  • NPI 1356423735
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1114009594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N FAIRFIELD RD",
            "address_2": "SUITE 130",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322762",
            "telephone_number": "937-426-2253",
            "fax_number": "937-426-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N FAIRFIELD RD",
            "address_2": "SUITE 130",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322762",
            "telephone_number": "937-426-2253",
            "fax_number": "937-426-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A. VITULLO, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "VITULLO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "937-426-2253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Jean Rodriguez-Borasz, CNP
• Janna Marie Rodriguez
• Jessica Lyn Rogers, PHARMD
• Kimberly Rogers, PT, DPT
• Toni Denise Rogers, M.D.
• Aleesa Nicole Rosas, DO
• Donna Jean Ross, LPN
• James M Rosselit Jr., DO
• Mark Robin Roush, D.C.
• Vicki Sue Roush, DC

• General Practice Dentistry in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.