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Active NPI 1750068151 Individual Practitioner Female Practitioner

Dr. Kylie Zaccari , DMD

Dentist - General Practice • Cranston, RI

Professional Overview & Biography Verified Profile Summary

Dr. Kylie Zaccari, DMD is a registered healthcare professional specializing in Dentist - General Practice in Cranston, RI. Practice services are available at 1280 PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1280 Park Ave

Cranston, RI 029103033

Telephone 4019430644
Associated Practice Facility / Clinic
🏢 Paul J. Matrullo, Dds, Pc Facility NPI 1831255405

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cranston, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Cranston, RI (373 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License RI DEN03661

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Guillaume Lepine

Dentist - General Practice

NPI 1073659470
Dr. Joseph Matrullo , DMD

Dentist - General Practice

NPI 1598821167

Doctor of Dental Medicine

Dr. Paul Matrullo , DDS

Dentist - General Practice

NPI 1760548333

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2024

Dentist (License #DEN03661 in RI)

👤
Provider Name / Credentials Updated June 12, 2024

Recorded as KYLIE ZACCARI, DMD

NPI Profile Active June 28, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2023

Registered at 1280 PARK AVE, CRANSTON, RI 029103033 (Tel: 4019430644)

📍
Updated Business Mailing Address June 28, 2023

Registered at 1420 PARK AVE # 1, CRANSTON, RI 029206634 (Tel: 3162132820)

👤
Provider Name / Credentials Updated June 28, 2023

Recorded as KYLIE WALKER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2023

Dentist (License #DEN03661 in RI)

🟢
Initial NPI Registration & Enumeration June 28, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750068151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2023
Last Update: December 09, 2024
Sole Proprietor: No

Mailing Address

1420 Park Ave # 1

Cranston, RI 029206634

Phone: 3162132820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.