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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | NP INDIVIDUAL | 1548321235 | 01 |
Other Name | Type Code |
---|---|
city dental of woonsocket, llc | Former Legal Business 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 |
1194215160 | Social Street Dental | Dentist | 515 Social St, Woonsocket, RI 02895-2043 | 2018-05-15 |
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 | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
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 |
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 |
City | WOONSOCKET |
Zip Code | 02895 |
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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.