31 Elmgrove Dental LLC
Dentist, General Practice in Providence, Rhode Island
1225787708- Practice location
- 31 Elmgrove Ave, Providence, RI 02906-4103
- Phone
- 401-421-9350
- Fax
- 401-421-6450
- Last updated
- March 22, 2022
31 Elmgrove Dental LLC is a healthcare organization based in Providence, RI. 31 Elmgrove Dental LLC practices in Providence, RI. The NPI Number for 31 Elmgrove Dental LLC is 1225787708. The current practice location address for 31 Elmgrove Dental LLC is 31 Elmgrove Ave, Providence, RI 02906-4103 and can be reached out via phone at 401-421-9350 and via fax at 401-421-6450.
Provider Profile Details
- NPI Number
- 1225787708
- Provider Name
- 31 Elmgrove Dental LLC
- Provider Entity Type
- Organization
- Address
- 31 Elmgrove Ave, Providence, RI 02906-4103
- Phone Number
- 401-421-9350
- Fax Number
- 401-421-6450
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Mrs. Jessica A Polak, CDA · Office Manager · 401-421-9350
- Other Names
- Dr Lawrence D Page DMD INC (Former Legal Business Name)
- Provider Enumeration Date
- March 22, 2022
- Last Update Date
- March 22, 2022
- Certification Date
- March 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Elmgrove Ave
Providence, RI 02906-4103 - City
- Providence
- State
- Rhode Island
- Zip
- 02906-4103
- Phone Number
- 401-421-9350
- Fax Number
- 401-421-6450
Provider Business Mailing Address Details
- Address
- 31 Elmgrove Ave
Providence, RI 02906-4103 - City
- Providence
- State
- RI
- Zip
- 02906-4103
License Information
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 31 Elmgrove Dental LLC?
The NPI number of 31 Elmgrove Dental LLC is 1225787708. It was assigned on March 22, 2022 and is currently active in the NPPES registry.
What is the specialty of 31 Elmgrove Dental LLC?
31 Elmgrove Dental LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does 31 Elmgrove Dental LLC practice?
The practice location is 31 Elmgrove Ave, Providence, RI 02906-4103. The office can be reached at 401-421-9350 (phone) or 401-421-6450 (fax).
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 1225787708 directly on the NPPES registry website.