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DENTAL GROUP OF PAWTUCKET NPI 1740451509


NPI Information

NPI: 1740451509
Provider Name: DENTAL GROUP OF PAWTUCKET

Doing Business As: DMD DENTAL OF PAWTUCKET

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1571 NEWPORT AVE
SUITE 2
PAWTUCKET, RI
ZIP 02861
Phone: (401) 722-3344
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DENTAL GROUP OF PAWTUCKET is a general practice dentist in Pawtucket, RI. The provider is 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. DENTAL GROUP OF PAWTUCKET NPI is 1740451509. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dmd Dental Of Pawtucket.

The provider's business location address is:

1571 NEWPORT AVE
SUITE 2
PAWTUCKET, RI
ZIP 02861-351
Phone: (401) 722-3344
Fax: (401) 725-9755

The provider's authorized official is Raj V Dulala .
The authorized official title is Owner and has the following contact phone number (401) 722-3344.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 3/19/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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

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