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General NPI Number Information
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NPI Number | 1194689851
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Entity Type | Organization
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Legal Business Name | ANTHONY J GAZZOLA JR DMD PC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 6320 POST RD
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-1882
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Country | US
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Telephone | 401-884-1525
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Fax |
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Provider Business Mailing Address
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Address Line | 6320 POST RD
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-1882
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Country | US
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Telephone | 401-884-1525
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | ANTHONY GAZZOLA
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Credential | DMD
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Telephone | 401-884-1525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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