Individual
DR. PAUL JOHN ADDAMO JR.
Active
Individual
DR. PAUL JOHN ADDAMO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
40150
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
062507
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
40150
TX
2086X0206X
Surgical Oncology Physician
Primary
341455-01
NY
Other
Enumeration date
05/12/2018
Last updated
08/14/2026
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