DR. LELAND S. BLOUGH JR. (NPI# 1588611768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588611768 |
| Entity Type | Individual |
| Full Name | DR. LELAND S. BLOUGH JR. |
| Credential | DMD |
| Practice Address |
33 College Hill Rd Bldg #5, Suite 5a Warwick RI 02886-2776 |
| Practice Telephone | 4018283688 |
| Mailing Telephone | 4018283688 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2455 | RI | Dental Providers |
| Street Address |
33 COLLEGE HILL RD BLDG #5, SUITE 5A |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255381554 | Helen Frances Sheehan | Social Worker | 33 College Hill Rd, Suite 30 E, Warwick, RI 02886-2776 | 2006-05-10 |
| 1548710072 | Jennifer A Frey | Counselor | 33 College Hill Rd, Bld 29c, Warwick, RI 02886-2776 | 2016-10-07 |
| 1821416306 | Malchar Chiropractic Center, Ltd. | Chiropractor | 33 College Hill Rd, Suite 30c, Warwick, RI 02886-2776 | 2014-04-02 |
| 1265874614 | Ashley Elizabeth Marzullo | Counselor | 33 College Hill Rd, Ste 30e, Warwick, RI 02886-2776 | 2013-07-26 |
| 1073888798 | Leland S Blough Jr Dmd Ltd | Dentist | 33 College Hill Rd, Suite 5a, Warwick, RI 02886-2776 | 2012-03-13 |
| 1053607754 | Avatar Residential, Inc. | Day Training, Developmentally Disabled Services | 33 College Hill Rd, Bldg.33, Warwick, RI 02886-2776 | 2011-06-22 |
| 1841507589 | Candace Eileene Murray | Counselor | 33 College Hill Rd, Ste 30e, Warwick, RI 02886-2776 | 2010-09-01 |
| 1265636500 | Malchar Chiropractic | Chiropractor | 33 College Hill Rd, Warwick, RI 02886-2776 | 2007-06-12 |
| 1326253253 | G. Miles Mullervy | Social Worker | 33 College Hill Rd, Ste 30e, Warwick, RI 02886-2776 | 2007-05-14 |
| 1972715506 | Therese A Rando | Psychologist | 33 College Hill Rd, Bldg. 30a, Warwick, RI 02886-2776 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093889800 | Drs Aschaffenburg & English Jr Ltd | Dentist | 222 Jefferson Boulevard, Suite 301, Warwick, RI 02888-3855 | 2006-11-20 |
| 1356359046 | Joel H Harrison | Dentist | 230 Airport Rd, Warwick, RI 02889-1039 | 2006-08-04 |
| 1417946898 | Frank Paletta | Dentist | 243 Jefferson Blvd, Warwick, RI 02888-3818 | 2005-10-18 |
| 1881950509 | Facial and Oral Surgery | Dentist | 243 Jefferson Blvd, Warwick, RI 02888-3818 | 2012-04-06 |
| 1073888798 | Leland S Blough Jr Dmd Ltd | Dentist | 33 College Hill Rd, Suite 5a, Warwick, RI 02886-2776 | 2012-03-13 |
| 1396925228 | Ray English Jr. | Dentist | 222 Jefferson Blvd, Suite 301, Warwick, RI 02888 | 2007-11-08 |
| 1013075373 | Joel H Harrison Dmd Ltd | Dentist | 230 Airport Rd, Warwick, RI 02889 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942300678 | Albert E. Carlotti Jr. | Dentist | 915 Oaklawn Ave, Cranston, RI 02920-2638 | 2006-09-23 |
| 1306942867 | Ri Dental Surgery & Implants, Ltd. | Dentist | 468 Smithfield Rd, North Providence, RI 02904-4238 | 2006-09-15 |
| 1730193277 | Stephen T. Skoly Jr. | Dentist | 30 Chapel View Blvd., Suite 240, Cranston, RI 02920 | 2006-07-28 |
| 1700817384 | University Oral & Maxillofacial Surgery Ltd | Dentist | 1370 S County Trl, East Greenwich, RI 02818-1625 | 2006-07-05 |
| 1285692731 | East Bay Oral Surgery | Dentist | 2224 Pawtucket Avenue, East Providence, RI 02914 | 2006-05-03 |
| 1578538088 | Steven H. Young | Dentist | 1414 Atwood Ave, Suite 340, Johnston, RI 02919-4839 | 2006-02-18 |
| 1245203793 | Luis Francisco Rosario | Dentist | 1173 Whipple Road, Branch Dental Clinic Newport, Newport, RI 02841 | 2006-02-07 |
| 1518939388 | Martin T Elson | Dentist | 1265 Reservoir Ave, Cranston, RI 02920-6060 | 2006-02-06 |
| 1588649644 | Brian P Hogan | Dentist | 65 W Main Rd, Middletown, RI 02842-4933 | 2005-12-13 |
| 1760473177 | John E Duhaime | Dentist | 5586 Post Rd, Ste 101, East Greenwich, RI 02818-3454 | 2005-11-03 |
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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.