Individual
DR. WILLIAM PAUL PISCITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6900 FOREST AVE, SUITE 110, RICHMOND, VA 23230-1729
(804) 893-8715
(804) 285-1292
Mailing address
6900 FOREST AVE, SUITE 110, RICHMOND, VA 23230-1729
(804) 893-8715
(804) 285-1292
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401411742
VA
1223P0221X
Pediatric Dentistry
2994
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138580000
—
WV
01
—
C06778
GROUP PTAN
VA
Enumeration date
07/25/2006
Last updated
03/18/2016
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