DR. BRUCE CHARLES MACKINNON (NPI# 1083663249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083663249 |
| Entity Type | Individual |
| Full Name | DR. BRUCE CHARLES MACKINNON |
| Credential | D.D.S. |
| Practice Address |
88 Beach St Westerly RI 02891-2718 |
| Practice Telephone | 4015690075 |
| Practice Fax Number | 4015960388 |
| Mailing Telephone | 4015690075 |
| Mailing Fax Number | 4015960388 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2009-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN01579 | RI | Dental Providers |
| Street Address |
88 BEACH ST |
| City | WESTERLY |
| State | RI |
| Zip Code | 02891-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558319954 | Brett Louis Bruno | Dentist | 88 Beach St, Westerly, RI 02891-2718 | 2006-05-05 |
| 1891086591 | Kavita Bhalala Suthar | Dentist | 88 Beach St, Westerly, RI 02891-2718 | 2011-04-28 |
| 1902070865 | Beachcrest Dental, Inc. | Clinic/Center | 88 Beach St, Westerly, RI 02891-2718 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841741931 | Orthopedics Rhode Island, Inc | Orthopaedic Surgery | 268 Post Road, Westerly, RI 02891 | 2016-10-24 |
| 1235554072 | Ocean State Urgent Care Center of Westerly, LLC | Clinic/Center | 77 Franklin Street, Westerly, RI 02891 | 2014-03-04 |
| 1972843530 | Christine Elizabeth Mcauliffe | Psychologist | 93 Tower Street, Westerly, RI 02891 | 2013-02-19 |
| 1902156631 | Gustave Polzer Brucker Iv | Physical Therapist | 33 Pearl Street, Westerly, RI 02891 | 2012-09-10 |
| 1194964098 | Katherine Anne Chesson | Social Worker | 16 High St Ste 6, Westerly, RI 02891 | 2009-02-17 |
| 1679758114 | Rhode Island Cvs Pharmacy,l.l.c. | Durable Medical Equipment & Medical Supplies | 151 Franklin St., Westerly, RI 02891 | 2008-01-03 |
| 1316060346 | Glen Edward Foden | Dentist | 13 Grove Avenue, Westerly, RI 02891 | 2007-04-06 |
| 1144344888 | Town of Westerly | Local Education Agency (LEA) | 15 Highland Avenue, Westerly, RI 02891 | 2007-03-19 |
| 1144365644 | Babcock Village Apartments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Cross Street, Westerly, RI 02891 | 2007-02-21 |
| 1477698298 | Monica Lee Bailey | Counselor | 28 Wells Street, Westerly, RI 02891 | 2007-02-20 |
| Find all providers in zip 02891 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093089880 | Eric Moore | Dentist | 7 Sycamore Dr, Westerly, RI 02891-3900 | 2012-02-27 |
| 1053456236 | Ronald Edward Capalbo | Dentist | 130 Granite St, Westerly, RI 02891-2461 | 2007-02-21 |
| 1740374990 | Anthony Christopher Dimaio | Dentist | 33 Crestview Dr, Westerly, RI 02891-2907 | 2006-10-03 |
| 1558319954 | Brett Louis Bruno | Dentist | 88 Beach St, Westerly, RI 02891-2718 | 2006-05-05 |
| 1699755371 | Rebecca J. Woodward | Dentist | 11 Wells St, Suite 4, Westerly, RI 02891-2998 | 2006-01-19 |
| 1730638099 | Brett Steven Beaulieu | Dentist | 130 Granite St, Westerly, RI 02891-2495 | 2016-09-28 |
| 1891086591 | Kavita Bhalala Suthar | Dentist | 88 Beach St, Westerly, RI 02891-2718 | 2011-04-28 |
| 1700086543 | Matthew Brian Capalbo | Dentist | 130 Granite St, Westerly, RI 02891-2461 | 2007-07-19 |
| 1740301167 | Mourad Rahim | Dentist | 85 Beach St, Bldg. D, Westerly, RI 02891-2717 | 2007-04-03 |
| 1770604589 | Soha Alkoka | Dentist | 85 Beach St, Bldg. D, Westerly, RI 02891-2717 | 2007-04-02 |
| Find all providers in WESTERLY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.