CITY DENTAL OF WOONSOCKET, LLC


Address: 515 Social St, Woonsocket, RI 02895-2043
Phone: 4015975920

CITY DENTAL OF WOONSOCKET, LLC (NPI# 1265759567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265759567
Entity Type Organization
Organization Name CITY DENTAL OF WOONSOCKET, LLC
Other Organization Name CITY DENTAL OF WOONSOCKET, LLC
Practice Address 515 Social St
Woonsocket
RI 02895-2043
Practice Telephone 4015975920
Mailing Telephone 4015975920
Enumeration Date 2010-04-26
Last Update Date 2010-04-26
Authorized Official Name MRS. JOSEPHINE ROCA (OFFICE MANAGER)
Authorized Official Telephone 4015975920
Authorized Official Credential BA
Is Organization Subpart Y
Parent Organization Name CITY DENTAL, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
RI NP INDIVIDUAL 1548321235 01

Other Provider/Organization Names

Other Name Type Code
city dental of woonsocket, llc Former Legal Business Name - Organization

Office Location

Street Address 515 SOCIAL ST
City WOONSOCKET
State RI
Zip Code 02895-2043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184725913 Barbara J Inderlin Social Worker 515 Social St, Woonsocket, RI 02895-2043 2006-09-26
1194215160 Social Street Dental Dentist 515 Social St, Woonsocket, RI 02895-2043 2018-05-15

Providers in the same zip code

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 Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124231253 Daniel Peter Decesare Dentist 1740 Atwood Ave., Johnston, RI 02919-3269 2007-05-07
1447378047 Perio Inc Dentist 118 Point Judith Road, Unit 3, Narragansett, RI 02882-3439 2007-03-26
1275666141 George W Pirie Dentist 77 Toll Gate Road, Warwick, RI 02886-4443 2007-03-13
1851434070 Gregory S Theberge Dentist 1740 Atwood Ave, Johnston, RI 02919-3214 2007-02-15
1225185747 Steven Jay Peiser Dentist 324 Angell St, Providence, RI 02906-3205 2007-01-05
1508950924 Martin Craig Nager Dentist 67 Jefferson Boulvard, Warwick, RI 02888-1053 2006-10-02
1639271554 Jeffrey Bram Shapiro Dentist 189 Governor St, Providence, RI 02906 2006-09-01
1265542955 George B Gettinger Dentist 2138 Mendon Rd Ste 201, Cumberland, RI 02864-3835 2006-08-30
1467465054 Denise M Shapiro Dentist 40 Elmgrove Avenue, Providence, RI 02906 2006-08-14
1801307319 Giuseppe Cicero Dentist 130 Granite St, Westerly, RI 02891-2495 2017-10-24
Find all providers with the same taxonomy

Competitor

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City WOONSOCKET
Zip Code 02895

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Dataset Information

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.

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