Robert A. Faiella, D.M.D., M.M.SC.
Individual provider Active NPI Periodontics · Osterville, MA
NPI 1891910568 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891910568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 15238 (MA)
- Practice address
- 749 Main St
Suite B
Osterville, MA 02655-1944 - Phone
- (508) 420-1124
- Fax
- (508) 420-0904
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15238 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert a. Faiella, DMD, MMSC, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 15238 | MA | Yes |
Addresses
Primary practice location
749 Main St
Suite B
Osterville, MA 02655-1944
Mailing address
749 Main St
Suite B
Osterville, MA 02655-1944
Phone (508) 420-1124
Other providers in Osterville, MA
- Jeanne Marie Dionne
- Dr. Debra Foschi
- Edward P Nelson DMD PC
- Jeanne Christopulos Egan
- J. Douglas Eplett Jr.
- Debra V Foschi
- Robert Roland Fournier
- Louisa J Grauel
- Ellen Jeanne Harmansky
- Hass Family Medicine Cape Cod
All providers in Osterville, MA · Periodontics in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.