LAKESIDE DENTAL INC. NPI 1205018033

NPI Information

  • NPI: 1205018033
  • Provider Name: LAKESIDE DENTAL, INC.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 34 NOOSENECK HILL RD
    UNIT #1
    WEST GREENWICH, RI
    ZIP 02817
  • Phone: (401) 392-3320

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NPI Details

LAKESIDE DENTAL, INC. is a dental clinic center in West Greenwich, RI. LAKESIDE DENTAL, INC. NPI is 1205018033. The provider is registered as an organization entity type.

The provider's business location address is:

34 NOOSENECK HILL RD
UNIT #1
WEST GREENWICH, RI
ZIP 02817-509
Phone: (401) 392-3320
Fax: (401) 392-3380

The provider's authorized official is Paul F. Calitri .
The authorized official title is President and has the following contact phone number (401) 392-3320.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 8/3/2011.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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