Individual provider · NPI-1

Dr. Paul John Addamo Jr., DDS

Surgery, Surgical Oncology · Bronx, NY

NPI number1346730611
StatusActive
Last updated in NPPESAug 14, 2026

Details

NPI
1346730611
Entity type
Individual (NPI-1)
Name
Dr. Paul John Addamo Jr.
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
May 12, 2018
Certification date
Aug 14, 2026
Last updated
Aug 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086X0206X Surgery, Surgical Oncology341455-01NYYes
1223G0001X Dentist, General Practice40150TX
1223S0112X Dentist, Oral and Maxillofacial Surgery40150TX
1223S0112X Dentist, Oral and Maxillofacial Surgery062507NY

Practice location

234 E 149th St Ste 2a8
Bronx, NY 10451-5589

Phone 516-382-0388 · Fax 929-310-7940

Mailing address

98 Valley Rd
Levittown, NY 11756-2928

Phone 516-382-0388

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