Healthcare Provider Details

I. General information

NPI: 1417946898
Provider Name (Legal Business Name): FRANK PALETTA D.M.D., M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 JEFFERSON BLVD
WARWICK RI
02888-3818
US

IV. Provider business mailing address

243 JEFFERSON BLVD
WARWICK RI
02888-3818
US

V. Phone/Fax

Practice location:
  • Phone: 401-739-5500
  • Fax: 401-738-1550
Mailing address:
  • Phone: 401-739-5500
  • Fax: 401-738-1550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number20616
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDEN2741
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number219515
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License NumberMD10576
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: