Maxillofacial Surgeons, LTD.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

MAXILLOFACIAL SURGEONS, LTD.

Practice address

243 Jefferson Blvd
Warwick, RI 02888-3818

Phone

(401) 739-5500

Fax

(401) 738-1550

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anthony R Petito, DDS, MDNPI 1760430730

Title

President

Phone

(401) 739-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MSL Facial & Oral Surgery Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Rocco Petito, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • East Providence, RI
  • NPI 1760430730
  NPD (past) Authorized official

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972579183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883818",
            "telephone_number": "401-739-5500",
            "fax_number": "401-738-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883818",
            "telephone_number": "401-739-5500",
            "fax_number": "401-738-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXILLOFACIAL SURGEONS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETITO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-739-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9008578",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSL Facial & Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katerina Elana Mauricio, RN
• Maxi Drug South LP
• Maxi Drug South LP
• Maxi Drug South LP
• Maxi Drug South LP
• Sophie May
• Todd Warren May, DO, MHS
• Jennifer Amy Maybaum, RPH
• Erica Grace Mayer, PA-C
• Breanna Mayeski, MS, LMHC

• Oral & Maxillofacial Surgery (D.M.D.) in Warwick, RI
• Providers in Warwick, RI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.