Mark A Pullano, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16135 Issued in MA

Practice address

190 Main St
Williamstown, MA 01267-2604

Phone

(413) 458-8368

Fax

(413) 458-0932

NPI assigned

Aug 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lawrence J. Ross, DDS & Mark a. Pullano, DMD, PC

  • General Practice Dentistry
  • Williamstown, MA
  • NPI 1790891190
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699881904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MAIN ST",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672604",
            "telephone_number": "413-458-8368",
            "fax_number": "413-458-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MAIN ST",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672604",
            "telephone_number": "413-458-8368",
            "fax_number": "413-458-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLANO",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD ID #",
            "identifier": "X10842",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynsey Perrin
• Gabriel C Pesce, P.T.
• Miriam Paula Pfisterer
• Stephen P Pickering, P.T.
• Thomas R Plunkett, MSW
• Abigail W Reifsnyder, LICSW
• Reowell Relos
• Pamela Reyome
• Elda Magalis Riera-Filson, PTA
• Rubab Rizwan, M.D.

• General Practice Dentistry in Williamstown, MA
• Providers in Williamstown, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.