Provider Demographics
NPI:1821109570
Name:ROSS K. PALIOCA, D.M.D, P.C.
Entity Type:Organization
Organization Name:ROSS K. PALIOCA, D.M.D, P.C.
Other - Org Name:ADVANCED DENTAL PRACTICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:K
Authorized Official - Last Name:PALIOCA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-384-3760
Mailing Address - Street 1:21 EAST ST
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-1369
Mailing Address - Country:US
Mailing Address - Phone:508-384-3760
Mailing Address - Fax:508-384-5083
Practice Address - Street 1:21 EAST ST
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-1369
Practice Address - Country:US
Practice Address - Phone:508-384-3760
Practice Address - Fax:508-384-5083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty