Provider Demographics
NPI:1558425249
Name:ERNEST P. VOTOLATO, D.M.D. & FRANK A. PAZIENZA, D.D.S., INC.
Entity Type:Organization
Organization Name:ERNEST P. VOTOLATO, D.M.D. & FRANK A. PAZIENZA, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:P
Authorized Official - Last Name:VOTOLATO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:401-751-8046
Mailing Address - Street 1:266 WAYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-4524
Mailing Address - Country:US
Mailing Address - Phone:401-751-8046
Mailing Address - Fax:
Practice Address - Street 1:266 WAYLAND AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4524
Practice Address - Country:US
Practice Address - Phone:401-751-8046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN02164122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty