DR. FARISA SURATTANONT MULVEY D.D.S. NPI 1275583874

NPI Information

NPI: 1275583874
Provider Name: DR. FARISA SURATTANONT MULVEY, D.D.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
148 WATERMAN ST
PROVIDENCE, RI
ZIP 02906
Phone: (401) 272-3443
Get Directions

DR. Farisa Surattanont Mulvey, D.D.S. is a pediatric dentistry dentist in Providence, RI. The provider is 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. DR. Farisa Surattanont Mulvey, D.D.S. NPI is 1275583874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

148 WATERMAN ST
PROVIDENCE, RI
ZIP 02906-130
Phone: (401) 272-3443
Fax: (401) 272-3539

The enumeration date for this NPI number is 5/12/2006 and was last updated on 7/9/2007.

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	1223P0221X	Dentist	Pediatric Dentistry	2834	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FS53913	MEDICAID	RHODE ISLAND

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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