THOMAS S. MULVEY DDS LLC (NPI# 1942322458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942322458 |
| Entity Type | Organization |
| Organization Name | THOMAS S. MULVEY DDS LLC |
| Other Organization Name | PROVIDENCE PEDIATRIC DENTISTRY |
| Practice Address |
111 Point Street Suite 1 Providence RI 02903 |
| Mailing Address |
P.o. Box 2608 Providence RI 02906 |
| Practice Telephone | 4012723443 |
| Practice Fax Number | 4012723539 |
| Mailing Telephone | 9175662652 |
| Mailing Fax Number | 4012723539 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | DR. THOMAS SPENCER MULVEY (OWNER) |
| Authorized Official Telephone | 9175662652 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2821 | RI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | TM51137 | 05 |
| Other Name | Type Code |
|---|---|
| Providence Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
111 POINT STREET SUITE 1 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033209895 | Stacy Ramsey | Nurse Practitioner | 111 Point Street, Providence, RI 02940-1142 | 2006-10-13 |
| 1316062441 | Jessica Wilder | Advanced Practice Midwife | 111 Point Street, Providence, RI 02903-1142 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992119390 | Abc Pediatric Dentistry, PC | Dentist | 65 N Gateway Dr Ste 1, Providence, UT 84332-6102 | 2014-06-13 |
| 1457794315 | Kurt Gordon Vest | Dentist | 169 N Gateway Dr Ste 105, Providence, UT 84332-9861 | 2013-04-10 |
| 1275583874 | Farisa Surattanont Mulvey | Dentist | 148 Waterman St, Providence, RI 02906-2130 | 2006-05-12 |
| 1912963935 | Stanton Cannon Allen | Dentist | 65 N. Gateway Drive, Ste #1, Providence, UT 84332-6102 | 2006-04-26 |
| 1487216685 | Wasatch Pediatric Dentistry, PC | Dentist | 169 N Gateway Dr Ste 105, Providence, UT 84332-9861 | 2019-07-08 |
| 1902285190 | Brandon Nakken | Dentist | 65 N Gateway Dr Ste 1, Providence, UT 84332-6102 | 2015-05-21 |
| 1194165167 | Amir Yavari | Dentist | 21 Peace St, Providence, RI 02907 | 2013-07-05 |
| 1942565486 | Jeffrey W Higbee | Dentist | 21 Peace St, Providence, RI 02907-1510 | 2012-07-11 |
| 1871858233 | Derek Nobrega | Dentist | 21 Peace St, Providence, RI 02907-1510 | 2012-07-11 |
| 1427215656 | Douglas D Warner | Dentist | 21 Peace St, Providence, RI 02907-1510 | 2008-05-16 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on THOMAS S. MULVEY DDS LLC.
| 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.