# MAXILLOFACIAL SURGEONS, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MSL Facial & Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972579183
- **Authorized official:** DR. ANTHONY R PETITO DDS, MD (PRESIDENT)
- **Authorized official phone:** (401) 739-5500

## Contact information

- **Practice address:** 243 JEFFERSON BLVD, WARWICK, RI 02888-3818
- **Practice address phone:** (401) 739-5500
- **Practice address fax:** (401) 738-1550
- **Mailing address:** 243 JEFFERSON BLVD, WARWICK, RI 02888-3818
- **Mailing address phone:** (401) 739-5500
- **Mailing address fax:** (401) 738-1550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2006
- **Last updated:** 08/22/2020