SOCIAL STREET DENTAL (NPI# 1194215160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194215160 |
| Entity Type | Organization |
| Organization Name | SOCIAL STREET DENTAL |
| Other Organization Name | SOCIAL STREET DENTAL |
| Practice Address |
515 Social St Woonsocket RI 02895-2043 |
| Practice Telephone | 4015975920 |
| Practice Fax Number | 4015975924 |
| Mailing Telephone | 4015975920 |
| Mailing Fax Number | 4015975924 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | JOSEFA RIVERA (OFFICE ASSISTANT) |
| Authorized Official Telephone | 4019211575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DEN02637 | RI | Dental Providers |
| Other Name | Type Code |
|---|---|
| social street dental | Doing Business As Name - Organization |
| Street Address |
515 SOCIAL ST |
| City | WOONSOCKET |
| State | RI |
| Zip Code | 02895-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184725913 | Barbara J Inderlin | Social Worker | 515 Social St, Woonsocket, RI 02895-2043 | 2006-09-26 |
| 1265759567 | City Dental of Woonsocket, LLC | Dentist | 515 Social St, Woonsocket, RI 02895-2043 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732017 | Karissa Cardoso | Behavior Technician | 36 Cleveland Street, Apt 1, Woonsocket, RI 02895 | 2019-07-16 |
| 1841714177 | Richard Keith Polacek | Behavioral Analyst | 30 Cumberland St., Woonsocket, RI 02895 | 2017-07-28 |
| 1912353335 | Muria Irine Nisbett | Social Worker | 4 Gaulin Ave., Floor 4, Woonsocket, RI 02895 | 2016-05-05 |
| 1083046833 | Shaylyn Kathleen Mcteague | Podiatrist | 20 Cumberland Hill Rd Unit 210, Woonsocket, RI 02895 | 2013-08-04 |
| 1902243165 | David J. Ward Dmd, PC | Dentist | 460 S. Main St., Woonsocket, RI 02895 | 2013-05-29 |
| 1073876256 | Patricia J Corbett | Social Worker | 181 Cumberland St # 301, Woonsocket, RI 02895 | 2012-06-21 |
| 1114206521 | Patricia Nievez Alvarez | Social Worker | 181 Cumberland St Ste 301, Woonsocket, RI 02895 | 2011-08-16 |
| 1891082970 | Ann Katherine Maccarone | Speech-Language Pathologist | 1 Cumberland St., Woonoscket, RI 02895 | 2011-07-08 |
| 1043507734 | Infectious Diseases Associates of Rhode Island | Internal Medicine | 115 Cass Avenue - 3rd Floor, C/o Landmark Medical, Woonsocket, RI 02895 | 2011-07-01 |
| 1740577543 | Michelle Marie Durand Straube | Optometrist | 385 Mendon Road, Woonsocket, RI 02895 | 2011-06-30 |
| Find all providers in zip 02895 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720101959 | Gary Mark Lazaroff | Dentist | 257 Wayland Avenue, Providence, RI 02906 | 2007-04-10 |
| 1932244076 | Mellion & Cappuccino, Inc. | Dentist | 265 Jefferson Blvd, Warwick, RI 02888-3823 | 2007-02-20 |
| 1275694218 | Ocean State Endodontics | Dentist | 1145 Reservoir Avenue, Suite 225, Cranston, RI 02920-6000 | 2006-12-13 |
| 1679634109 | Hodosh Dental Associates, Inc. | Dentist | 243 Elmwood Ave, Providence, RI 02907-1547 | 2006-12-12 |
| 1518906965 | East Side Endodontics | Dentist | 130 Waterman St, Providence, RI 02906-2010 | 2006-06-04 |
| 1700864931 | Diane L Doyle | Dentist | 1173 Whipple St, Newport, RI 02841-1632 | 2006-01-06 |
| 1750711420 | Advanced Care Endodontics Inc | Dentist | 31 King Charles Dr, Portsmouth, RI 02871-1448 | 2013-11-18 |
| 1811210024 | Advanced Care Endodontics Inc | Dentist | 31 King Charles Dr, Portsmouth, RI 02871-1365 | 2010-03-03 |
| 1457685349 | Dental Associates of Cumberland, LLC | Dentist | 490 High St, Cumberland, RI 02864-7644 | 2009-09-24 |
| 1174790539 | Steven F. Pinto | Dentist | 31 King Charles Dr, Portsmouth, RI 02871-1365 | 2008-05-14 |
| Find all providers with the same taxonomy | ||||
| City | WOONSOCKET |
| Zip Code | 02895 |
Please comment or provide details below to improve the information on SOCIAL STREET DENTAL.
| 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.