Active NPIOrganization

City Dental, LLC

Dentist, Periodontics in Providence, Rhode Island

NPI Number1477736452
Practice location
314F Pocasset Avenue, Providence, RI 02909
Fax
401-942-5156
Last updated
December 12, 2007

City Dental, LLC is a healthcare organization based in Providence, RI. City Dental, LLC practices in Providence, RI. The NPI Number for City Dental, LLC is 1477736452 and holds a License No. den02737 (RI). The current practice location address for City Dental, LLC is 314F Pocasset Avenue, Providence, RI 02909 and can be reached out via phone at 401-942-5051 and via fax at 401-942-5156.

Provider Profile Details

NPI Number
1477736452
Provider Name
City Dental, LLC
Provider Entity Type
Organization
Address
314F Pocasset Avenue, Providence, RI 02909
Phone Number
401-942-5051
Fax Number
401-942-5156
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Cielito R Deayala · Manager · 401-942-5051
Provider Enumeration Date
December 12, 2007
Last Update Date
December 12, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
314F Pocasset Avenue
Providence, RI 02909
Zip
02909
Phone Number
401-942-5051
Fax Number
401-942-5156
Providence, RI 02909Get directions →

Provider Business Mailing Address Details

Address
314F Pocasset Avenue
Providence, RI 02909
City
Providence
State
RI
Zip
02909
Phone Number
401-942-5051

License Information

License Number (1)
den02737
License State (1)
RI
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
den02637
License State (2)
RI
Taxonomy (2)
Dentist, Periodontics · 1223P0300X · 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 City Dental, LLC?

The NPI number of City Dental, LLC is 1477736452. It was assigned on December 12, 2007 and is currently active in the NPPES registry.

What is the specialty of City Dental, LLC?

City Dental, LLC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in RI under license number den02737.

Where does City Dental, LLC practice?

The practice location is 314F Pocasset Avenue, Providence, RI 02909. The office can be reached at 401-942-5051 (phone) or 401-942-5156 (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 1477736452 directly on the NPPES registry website.

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