Paolucci Lincoln Dental Associates, PC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

DEN03270 Issued in RI

Legal business name

PAOLUCCI LINCOLN DENTAL ASSOCIATES, PC

Practice address

6 Blackstone Valley PL
Suite 306a
Lincoln, RI 02865-1179

Phone

(401) 333-5500

NPI assigned

Sep 28, 2016

Organization subpart

No

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

Authorized official

Name

Mark Louis Paolucci

Title

Dentist

Phone

(401) 333-5500

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1639628993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "address_2": "SUITE 306A",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "address_2": "SUITE 306A",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-333-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLUCCI LINCOLN DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "PAOLUCCI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "401-333-5500"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "RI",
            "license": "DEN03270",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedics Rhode Island, Inc
• Kevin J Otoole II
• Paul J Padula, MSN-FNP-C
• Sofia Paiz
• Susan L Pakula, M.D.
• Faith M Paradis, OTR
• Jong Hoon Park, D.M.D
• Dana G Parris, MD
• Partners in Psychiatry LLC
• Paulmo Enterprises LLC

• Case Management Agency in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Case Management Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.