CITY DENTAL LLC NPI 1477736452

NPI Information

  • NPI: 1477736452
  • Provider Name: CITY DENTAL, LLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 314F POCASSET AVENUE
    PROVIDENCE, RI
    ZIP 02909
  • Phone: (401) 942-5051

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NPI Details

CITY DENTAL, LLC is a periodontics dentist in Providence, RI. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. CITY DENTAL, LLC NPI is 1477736452. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

314F POCASSET AVENUE
PROVIDENCE, RI
ZIP 02909
Phone: (401) 942-5051
Fax: (401) 942-5156

The provider's authorized official is Cielito R Deayala .
The authorized official title is Manager and has the following contact phone number (401) 942-5051.

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

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
11223G0001XDentistGeneral PracticeDEN02737RHODE ISLANDNo
21223P0300XDentistPeriodonticsDEN02637RHODE 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DEN02737OTHERRHODE ISLANDDMD

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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