Provider Demographics
NPI:1083621585
Name:COMPETIELLO, JOSEPH W (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:W
Last Name:COMPETIELLO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 FORBES ROAD
Mailing Address - Street 2:SUITE 1105
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184
Mailing Address - Country:US
Mailing Address - Phone:617-479-6000
Mailing Address - Fax:781-356-1637
Practice Address - Street 1:222 FORBES ROAD
Practice Address - Street 2:SUITE 1105
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184
Practice Address - Country:US
Practice Address - Phone:617-479-6000
Practice Address - Fax:781-356-1637
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA130191223G0001X
MAD130191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice