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Active NPI 1487752432 Individual Practitioner Male Practitioner

Dr. Walter Matthew Dzialo , DDS

Dentist - General Practice • Pawtucket, RI

Professional Overview & Biography Verified Profile Summary

Dr. Walter Dzialo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pawtucket, RI. Practice services are available at 526 NEWPORT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

526 Newport Ave

Pawtucket, RI 028613612

Telephone 4017242570
Fax 4017240199
Associated Practice Facility / Clinic
🏢 Family Smiles Dental Care Facility NPI 1316665979

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pawtucket, RI

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

Practicing in Pawtucket, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License RI DEN01869

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MA 14966

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
WD00135 (RI)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Sridevi Duggirala , DMD

Dentist - General Practice

NPI 1457513228

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 526 NEWPORT AVE, PAWTUCKET, RI 028613612 (Tel: 4017242570)

📍
Updated Business Mailing Address July 08, 2007

Registered at 37 TASHMOO WAY, PAWTUCKET, RI 028613712 (Tel: 4017254465)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WALTER DZIALO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DEN01869 in RI)

🟢
Initial NPI Registration & Enumeration September 20, 2006

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: 1487752432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

37 Tashmoo Way

Pawtucket, RI 028613712

Phone: 4017254465

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.