Healthcare Provider Details

I. General information

NPI: 1003309618
Provider Name (Legal Business Name): JOEY NAPOLITANO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2018
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RIVER ST
SOUTH KINGSTOWN RI
02879-3214
US

IV. Provider business mailing address

1 RIVER ST
WAKEFIELD RI
02879-3214
US

V. Phone/Fax

Practice location:
  • Phone: 386-212-8904
  • Fax:
Mailing address:
  • Phone: 401-783-5646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License NumberDEN03391
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: