JEFFERSON DENTAL ASSOCIATES II, LLC (NPI# 1134689128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134689128 |
| Entity Type | Organization |
| Organization Name | JEFFERSON DENTAL ASSOCIATES II, LLC |
| Practice Address |
222 Jefferson Blvd Warwick RI 02888-3847 |
| Practice Telephone | 4017392350 |
| Mailing Telephone | 4017392350 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | DR. MICHAEL CAPABLO (DENTIST) |
| Authorized Official Telephone | 4017417395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
222 JEFFERSON BLVD |
| City | WARWICK |
| State | RI |
| Zip Code | 02888-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972572998 | Dr. David W. Ferris and Associates Inc | Optometrist | 222 Jefferson Blvd, Warwick, RI 02888-3855 | 2006-03-14 |
| 1720437502 | Jennifer Noonan | Physician Assistant | 222 Jefferson Blvd, Warwick, RI 02888-3847 | 2016-06-13 |
| 1780858639 | Jefferson Dental Associates, L.t.d. | Dentist | 222 Jefferson Blvd, Warwick, RI 02888-3855 | 2008-04-22 |
| 1396925228 | Ray English Jr. | Dentist | 222 Jefferson Blvd, Suite 301, Warwick, RI 02888 | 2007-11-08 |
| 1013129220 | Medop Behavioral Health Associates of Rhode Island PC | Psychologist | 222 Jefferson Blvd, Suite 200, Warwick, RI 02888-3847 | 2007-05-03 |
| 1184742629 | Roy Alan Ragge | Dentist | 222 Jefferson Blvd, Warwick, RI 02888-3855 | 2007-03-26 |
| 1700921962 | Paul M Kaplan | Dentist | 222 Jefferson Blvd, Warwick, RI 02888 | 2007-02-21 |
| 1932242641 | Melvin Eric Hanzel | Dentist | 222 Jefferson Blvd, Warwick, RI 02888-3855 | 2007-02-14 |
| 1609936137 | Lam N Dao | Optometrist | 222 Jefferson Blvd, Warwick, RI 02888-3855 | 2006-12-12 |
| 1245331982 | Georgia Patsiopoulos | Optometrist | 222 Jefferson Blvd, Warwick, RI 02888 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644164 | Paul J Rocchio | Counselor | 2020 Elmwood Avenue Bridgemark, Inc., Warwick, RI 02888 | 2018-10-11 |
| 1184147811 | Alyssa Campagnone | Optometrist | 222 Jefferson Blvd Fl 3, Warwick, RI 02888 | 2017-07-25 |
| 1215204698 | Nicolette Fraza | Dietitian, Registered | 37 General Hawkinds Dr, Warwick, RI 02888 | 2011-11-29 |
| 1043431042 | Double Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1168 Warwick Ave, Warwick, RI 02888 | 2007-05-01 |
| 1205059037 | Richard Mark Goldenberg | Dentist | 708 Warwick Avenue, Warwick, RI 02888 | 2007-04-10 |
| 1558486068 | Richard Michael Bello | Optometrist | 1168 Warwick Avenue, Warwick, RI 02888 | 2007-03-21 |
| 1407997687 | Michael M Gooding | Dentist | 1422 Warwick Avenue, Warwick, RI 02888 | 2007-02-09 |
| 1528109246 | Kristie A. Ervanian | Counselor | 1087 Warwick Ave Rear Unit, Warwick, RI 02888 | 2007-02-08 |
| 1457417883 | Eugene Milton Dandrea | Psychologist | 1434 Warwick Avenue, Warwick, RI 02888 | 2006-12-29 |
| 1689750044 | Lucille C Vega | Family Medicine | 962 Warwick Avenue, Warwick, RI 02888 | 2006-10-28 |
| Find all providers in zip 02888 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871677583 | Mark S. Bichajian, Dmd, Inc. | Clinic/Center | 708 Warwick Ave, Warwick, RI 02888-2670 | 2006-10-25 |
| 1134694573 | Kenneth J. Rudman, D.m.d. | Clinic/Center | 35 Veterans Memorial Dr, Warwick, RI 02886-4617 | 2018-10-12 |
| 1518362136 | Neil F Dungca Dds Inc | Clinic/Center | 3411 W Shore Rd, Warwick, RI 02886-7561 | 2014-10-24 |
| 1881849172 | Warwick Family Dental Group Two Inc | Clinic/Center | 819 Greenwich Ave, Warwick, RI 02886-1815 | 2008-12-01 |
| 1528211711 | Warwick Family Dental Group, Inc | Clinic/Center | 819 Greenwich Ave, Warwick, RI 02886-1815 | 2008-10-31 |
| 1740342476 | Manuel M. Cunanan D.m.d. Inc. | Clinic/Center | 3411 W Shore Rd, Warwick, RI 02886-7561 | 2006-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1760029425 | Branch Village Dental Associates LLC | Clinic/Center | 501 Great Rd Ste 101, North Smithfield, RI 02896-6833 | 2019-12-02 |
| 1720621733 | Newport Dental Associates P.C. | Clinic/Center | 11 Catherine St Unit D, Newport, RI 02840-3497 | 2019-10-22 |
| 1245894690 | North Providence Dental Associates II LLC | Clinic/Center | 1635 Mineral Spring Ave Ste 201, North Providence, RI 02904-4025 | 2019-04-30 |
| 1053803825 | Cranston Pediatric Dentistry PC | Clinic/Center | 67 Phenix Ave, Cranston, RI 02920-4233 | 2018-06-06 |
| 1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
| 1477545549 | The Providence Community Health Centers, Inc. | Clinic/Center | 355r Prairie Ave, Suite 3, Providence, RI 02905-1961 | 2005-08-16 |
| 1740816271 | Angell Street Dental Associates II | Clinic/Center | 425 Angell St, Providence, RI 02906-4403 | 2020-03-16 |
| 1770133985 | Capitol Hill Ffs LLC | Clinic/Center | 276 Smith St, Providence, RI 02908-4955 | 2019-09-19 |
| 1295382398 | Plum Dental Ri, LLC | Clinic/Center | 880 Main St, East Greenwich, RI 02818-3113 | 2019-08-22 |
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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.