Active NPIIndividual providerSole proprietor

Dr. Reynaldo P Baduya Sr., DMD

Dentist, General Practice in Providence, Rhode Island

NPI Number1356409247
Practice location
252 Adelaide Ave, Providence, RI 02907-1833
Fax
401-941-2695
Last updated
July 8, 2007

Reynaldo Puertollano Baduya is a Dentist, General Practice based in Providence, RI. Reynaldo Puertollano Baduya practices in Providence, RI and has the professional credentials of DMD. The NPI Number for Reynaldo Puertollano Baduya is 1356409247 and holds a License No. DEN02491 (RI). The current practice location address for Reynaldo Puertollano Baduya is 252 Adelaide Ave, Providence, RI 02907-1833 and can be reached out via phone at 401-941-2600 and via fax at 401-941-2695.

Provider Profile Details

NPI Number
1356409247
Provider Name
Reynaldo Puertollano Baduya
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
252 Adelaide Ave, Providence, RI 02907-1833
Phone Number
401-941-2600
Fax Number
401-941-2695
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
December 5, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
252 Adelaide Ave
Providence, RI 02907-1833
Zip
02907-1833
Phone Number
401-941-2600
Fax Number
401-941-2695
Providence, RI 02907Get directions →

Provider Business Mailing Address Details

Address
252 Adelaide Ave
Providence, RI 02907-1833
City
Providence
State
RI
Zip
02907-1833
Phone Number
401-941-2600
Fax Number
401-941-2695

License Information

License Number
DEN02491
License State
RI
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr. Reynaldo P Baduya Sr., DMD?

The NPI number of Dr. Reynaldo P Baduya Sr., DMD is 1356409247. It was assigned on December 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Reynaldo P Baduya Sr., DMD?

Dr. Reynaldo P Baduya Sr., DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in RI under license number DEN02491.

Where does Dr. Reynaldo P Baduya Sr., DMD practice?

The practice location is 252 Adelaide Ave, Providence, RI 02907-1833. The office can be reached at 401-941-2600 (phone) or 401-941-2695 (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 1356409247 directly on the NPPES registry website.

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