ERIC J PROSSEDA (NPI# 1124034228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124034228 |
Entity Type | Individual |
Full Name | ERIC J PROSSEDA |
Credential | DMD |
Practice Address |
1 River St Wakefield RI 02879 |
Mailing Address |
191 Social St Woonsocket RI 02895 |
Practice Telephone | 4017830523 |
Practice Fax Number | 4017839448 |
Mailing Telephone | 4017674163 |
Mailing Fax Number | 4017674165 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2014-06-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN02765 | RI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | EP42524 | 05 |
Street Address |
1 RIVER ST |
City | WAKEFIELD |
State | RI |
Zip Code | 02879 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104805431 | La Shun La Rue Carroll | Dentist | 1 River St, Wakefield, RI 02879-3214 | 2006-01-13 |
1245856814 | Amanda Mchugh | Student in an Organized Health Care Education/Training Program | 1 River St, Wakefield, RI 02879-3214 | 2020-06-19 |
1104440965 | Jeffrey W Bouley | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2020-06-07 |
1881223394 | Nickesha Romaine Mckenzie | Registered Nurse | 1 River St, Wakefield, RI 02879-3214 | 2020-04-06 |
1982234076 | Phoebe F Hall | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2020-01-17 |
1871140392 | Abby Kolb Landers | Registered Nurse | 1 River St, Wakefield, RI 02879-3214 | 2019-08-20 |
1912550054 | Marie Olivette Martin | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2019-07-18 |
1740832922 | Emily Lauren Benson | Dentist | 1 River St, Wakefield, RI 02879-3214 | 2019-07-09 |
1104308204 | Virginia Curtis | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2018-09-05 |
1831683432 | Olivia Macaskill | Nurse Practitioner | 1 River St, Wakefield, RI 02879-3214 | 2018-06-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
Find all providers in zip 02879 |
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 |
---|---|---|---|---|
1568979938 | Carolyn Deangelis | Dentist | 61 Andrews Rd, Wakefield, MA 01880-5139 | 2018-01-05 |
1669746004 | Capalbo Dental Group of Wakefield, LLC | Dentist | 9 Cherry Ln, Wakefield, RI 02879-3603 | 2012-03-02 |
1346555174 | Nurhan Arnold Adrian | Dentist | 81 Farm St, Wakefield, MA 01880-3549 | 2010-08-17 |
1821220179 | David James Fiore | Dentist | 39 Yale Ave, Wakefield, MA 01880-2308 | 2009-08-20 |
1235334863 | Kevin J. Mcneil, D.d.s. | Dentist | 10 Crescent St, Wakefield, MA 01880-2413 | 2007-06-14 |
1821119868 | Frank E Delmonico | Dentist | 4959 Tower Hill Rd, Wakefield, RI 02879 | 2007-04-03 |
1013035807 | Philip J Koralishn | Dentist | 544 Salem Street, Wakefield, MA 01880-1213 | 2007-03-27 |
1609907922 | Gerry J Casazza | Dentist | 968 Main St, Wakefield, MA 01880-3989 | 2007-03-08 |
1720126147 | James N Showstack Dds Inc | Dentist | 9a Richardson Ave, Wakefield, MA 01880 | 2007-02-01 |
1003952508 | Richard Joseph Luise | Dentist | 5 Common St, Wakefield, MA 01880-2303 | 2007-01-30 |
Find all providers in WAKEFIELD |
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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.