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SOCIAL STREET DENTAL NPI 1194215160


NPI Information

NPI: 1194215160
Provider Name: SOCIAL STREET DENTAL

Doing Business As: SOCIAL STREET DENTAL

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
515 SOCIAL ST
WOONSOCKET, RI
ZIP 02895
Phone: (401) 597-5920
Get Directions

SOCIAL STREET DENTAL is an endodontics dentist in Woonsocket, RI. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. SOCIAL STREET DENTAL NPI is 1194215160. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Social Street Dental.

The provider's business location address is:

515 SOCIAL ST
WOONSOCKET, RI
ZIP 02895-043
Phone: (401) 597-5920
Fax: (401) 597-5924

The provider's authorized official is Josefa Rivera .
The authorized official title is Office Assistant and has the following contact phone number (401) 921-1575.

The enumeration date for this NPI number is 5/15/2018 and was last updated on 8/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsDEN02637RHODE ISLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERRHODE ISLANDPRIVATE INSURANCE

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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