DR. GLENN LEGASPI DOMINGUEZ (NPI# 1316045578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316045578 |
| Entity Type | Individual |
| Full Name | DR. GLENN LEGASPI DOMINGUEZ |
| Credential | DMD |
| Practice Address |
219 Cass Ave Suite E Woonsocket RI 02895-4741 |
| Mailing Address |
90 Osprey Dr East Greenwich RI 02818-1340 |
| Practice Telephone | 4017669122 |
| Mailing Telephone | 4018851225 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN02402 | RI | Dental Providers |
| Street Address |
219 CASS AVE SUITE E |
| City | WOONSOCKET |
| State | RI |
| Zip Code | 02895-4741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245299023 | John W Golberg | Orthopaedic Surgery | 219 Cass Ave, Woonsocket, RI 02895-4741 | 2006-03-21 |
| 1215332077 | Glenn L. Dominguez, D.m.d., LLC | Clinic/Center | 219 Cass Ave, Suite E, Woonsocket, RI 02895-4736 | 2014-10-22 |
| 1316347644 | Landmark Physician Associates | Family Medicine | 219 Cass Ave, Woonsocket, RI 02895-4736 | 2014-08-22 |
| 1457772543 | Prime Healthcare Services Landmark LLC | Family Medicine | 219 Cass Ave, Woonsocket, RI 02895-4736 | 2013-12-17 |
| 1700207842 | Prime Healthcare Services Landmark LLC | Clinical Neuropsychologist | 219 Cass Ave, Woonsocket, RI 02895-4736 | 2013-12-16 |
| 1518388651 | Prime Healthcare Services Landmark LLC | Surgery | 219 Cass Ave, Woonsocket, RI 02895-4736 | 2013-12-16 |
| 1942630264 | Prime Healthcare Services Landmark LLC | Internal Medicine | 219 Cass Ave, Woonsocket, RI 02895-4736 | 2013-11-22 |
| 1811039449 | Ocean State Pain Management PC | Physical Medicine & Rehabilitation | 219 Cass Ave, Suite B, Woonsocket, RI 02895-4741 | 2007-02-12 |
| 1144372640 | Sarah Elizabeth Davenport | Pediatrics | 219 Cass Ave, Suite G, Woonsocket, RI 02895-4736 | 2007-01-17 |
| 1346399516 | Ravi Tandon | Internal Medicine | 219 Cass Ave, Suite H, Woonsocket, RI 02895-4736 | 2007-01-09 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1902243165 | David J. Ward Dmd, PC | Dentist | 460 S. Main St., Woonsocket, RI 02895 | 2013-05-29 |
| 1760510044 | Boris Stabnikov | Dentist | 150 Social St, Suite 2, Woonsocket, RI 02895-3133 | 2007-03-01 |
| 1194883645 | David J Ward | Dentist | 460 South Main St, Woonsocket, RI 02895 | 2006-12-05 |
| 1598830788 | Joel Frederick Picard I | Dentist | 52 Hamlet Ave, Woonsocket, RI 02895-4423 | 2006-11-22 |
| 1639260276 | Michael Brian Forman | Dentist | 2000 Diamond Hill Rd, Woonsocket, RI 02895-1554 | 2006-09-27 |
| 1346355815 | Kerri-rae Agin | Dentist | 1413 Diamond Hill Rd, Woonsocket, RI 02895-1510 | 2006-08-21 |
| 1336170026 | Jeffrey Edward Dodge I | Dentist | 1438 Park Ave, Woonsocket, RI 02895-6557 | 2006-07-05 |
| 1821574047 | Samantha M Ward | Dentist | 460 S Main St, Woonsocket, RI 02895-5195 | 2018-07-11 |
| 1770967093 | Deepa Ravichandran | Dentist | 25 John A Cummings Way, Woonsocket, RI 02895-3244 | 2015-07-16 |
| 1497095178 | Joel F. Picard Dds, Inc. | Dentist | 52 Hamlet Ave, Woonsocket, RI 02895-4423 | 2013-02-18 |
| Find all providers in WOONSOCKET | ||||
| 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.