Healthcare Provider Details

I. General information

NPI: 1518346014
Provider Name (Legal Business Name): DEAN LOPORCHIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2015
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

566 TOLL GATE RD
WARWICK RI
02886-2799
US

IV. Provider business mailing address

35 SOCKANOSSET CROSS RD STE 2
CRANSTON RI
02920-5535
US

V. Phone/Fax

Practice location:
  • Phone: 401-738-4800
  • Fax:
Mailing address:
  • Phone: 401-946-8011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberMD17709
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: