Provider Demographics
NPI:1538299037
Name:NAPPO, PASQUALE PAT (DMD)
Entity Type:Individual
Prefix:DR
First Name:PASQUALE
Middle Name:PAT
Last Name:NAPPO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:PAT
Other - Middle Name:
Other - Last Name:NAPPO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:16 ARCADE UNIT 198747
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-1994
Mailing Address - Country:US
Mailing Address - Phone:615-750-0343
Mailing Address - Fax:615-986-1705
Practice Address - Street 1:73C WINTHROP AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-3716
Practice Address - Country:US
Practice Address - Phone:978-725-6525
Practice Address - Fax:978-725-6550
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT46401223G0001X
MADN18556451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT002046407Medicaid
MA110095618AMedicaid