Active NPIOrganization

Cranston Pediatric Dentistry PC

Clinic/Center, Dental in Cranston, Rhode Island

NPI Number1053803825
Practice location
67 Phenix Ave, Cranston, RI 02920-4233
Fax
—
Last updated
June 6, 2018

Cranston Pediatric Dentistry PC is a healthcare organization based in Cranston, RI. Cranston Pediatric Dentistry PC practices in Cranston, RI. The NPI Number for Cranston Pediatric Dentistry PC is 1053803825 and holds a License No. DEN03342 (RI). The current practice location address for Cranston Pediatric Dentistry PC is 67 Phenix Ave, Cranston, RI 02920-4233 and can be reached out via phone at 617-818-0573.

Provider Profile Details

NPI Number
1053803825
Provider Name
Cranston Pediatric Dentistry PC
Provider Entity Type
Organization
Address
67 Phenix Ave, Cranston, RI 02920-4233
Phone Number
617-818-0573
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Athanasios Zavras, DDS, MS, DMSC · President · 617-818-0573
Provider Enumeration Date
June 6, 2018
Last Update Date
June 6, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Phenix Ave
Cranston, RI 02920-4233
Zip
02920-4233
Phone Number
617-818-0573
Cranston, RI 02920Get directions →

Provider Business Mailing Address Details

Address
64 Pine St
Dover, MA 02030-2426
City
Dover
State
MA
Zip
02030-2426
Phone Number
617-818-0573

License Information

License Number
DEN03342
License State
RI
Taxonomy
Clinic/Center, Dental · 261QD0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cranston Pediatric Dentistry PC?

The NPI number of Cranston Pediatric Dentistry PC is 1053803825. It was assigned on June 6, 2018 and is currently active in the NPPES registry.

What is the specialty of Cranston Pediatric Dentistry PC?

Cranston Pediatric Dentistry PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in RI under license number DEN03342.

Where does Cranston Pediatric Dentistry PC practice?

The practice location is 67 Phenix Ave, Cranston, RI 02920-4233. The office can be reached at 617-818-0573 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053803825 directly on the NPPES registry website.

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