Penelope O'Sullivan Paolucci, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN03664 Issued in RI

Practice address

1 Randall SQ Ste 305
Providence, RI 02904-2774

Phone

(401) 521-5528

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Penelope Marie O'Sullivan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1285310706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BROAD ST UNIT 307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021103539",
            "telephone_number": "603-770-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQ STE 305",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042774",
            "telephone_number": "401-521-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLUCCI",
        "first_name": "PENELOPE",
        "middle_name": "O'SULLIVAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENELOPE",
            "last_name": "O'SULLIVAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paolucci Family Dentist
• Anthony David Paolucci, D.M.D
• Elizabeth Paolucci
• Gino Paolucci, NP
• Mark Louis Paolucci, DMD
• Roberta Paone-Hart, RN
• Martin R Papazian, MD
• Paper Crown Preschool
• Saga Pappas
• Pamela Paquette, MA

• General Practice Dentistry in Providence, RI
• Providers in Providence, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.