Gayle M. Pezzulo D.M.D.,P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GAYLE M. PEZZULO D.M.D.,P.C.

Practice address

480 Adams St
Suite 112
Milton, MA 02186-4914

Phone

(617) 698-9401

NPI assigned

May 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gayle M Pezzulo, D.M.D.

Title

Dentist/Owner

Phone

(781) 356-1800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1205214335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 ADAMS ST",
            "address_2": "SUITE 112",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864914",
            "telephone_number": "617-698-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ADAMS ST",
            "address_2": "SUITE 112",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864914",
            "telephone_number": "617-698-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYLE M. PEZZULO D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "PEZZULO",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "781-356-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Milton, MA
• Providers in Milton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.