Individual
DR. MATTHEW PIETER FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-3771
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204804
CO
Other
Enumeration date
06/07/2021
Last updated
01/13/2025
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