MIDDLETOWN FAMILY DENTAL LLC NPI 1174026587

NPI Information

NPI: 1174026587
Provider Name: MIDDLETOWN FAMILY DENTAL, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 41D2038658

Address:
770 AQUIDNECK AVE
MIDDLETOWN, RI
ZIP 02842
Phone: (401) 847-2094
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MIDDLETOWN FAMILY DENTAL, LLC is a dental clinic center in Middletown, RI. MIDDLETOWN FAMILY DENTAL, LLC NPI is 1174026587. The provider is registered as an organization entity type.

The provider's business location address is:

770 AQUIDNECK AVE
MIDDLETOWN, RI
ZIP 02842-246
Phone: (401) 847-2094

The provider's authorized official is Michael Capalbo .
The authorized official title is Chief Dentist and has the following contact phone number (860) 944-4149.

The CLIA number assigned to this NPI record is 41D2038658 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/12/2018 and was last updated on 3/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	2931	RHODE ISLAND	Yes
2	261QD0000X	Clinic/Center	Dental	1073658258		No
3	261QD0000X	Clinic/Center	Dental	1073658258	RHODE ISLAND	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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