STONE BRIDGE DENTAL GROUP NPI 1861647158

NPI Information

NPI: 1861647158
Provider Name: STONE BRIDGE DENTAL GROUP
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 1750 MAIN RD
TIVERTON, RI
ZIP 02878
Phone: (401) 624-2375

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NPI Details

STONE BRIDGE DENTAL GROUP is a general practice dentist in Tiverton, 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. STONE BRIDGE DENTAL GROUP NPI is 1861647158. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1750 MAIN RD
TIVERTON, RI
ZIP 02878-538
Phone: (401) 624-2375

The provider's authorized official is Paul Bazzoni .
The authorized official title is Employee and has the following contact phone number (401) 624-2375.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	1864	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	8931-3	OTHER	RHODE ISLAND	BLUE CROSS BLUE SHIELD

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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