Active NPIIndividual provider

Erica Kleinbaum, DMD

Dentist, Periodontics in Providence, Rhode Island

NPI Number1558927228
Practice location
167 Gano St, Providence, RI 02906-3808
Fax
—
Last updated
February 7, 2024

Erica Kleinbaum is a Dentist, Periodontics based in Providence, RI. Erica Kleinbaum practices in Providence, RI and has the professional credentials of DMD. The NPI Number for Erica Kleinbaum is 1558927228 and holds a License No. DN1858348 (MA). The current practice location address for Erica Kleinbaum is 167 Gano St, Providence, RI 02906-3808 and can be reached out via phone at 401-274-2600.

Provider Profile Details

NPI Number
1558927228
Provider Name
Erica Kleinbaum
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
167 Gano St, Providence, RI 02906-3808
Phone Number
401-274-2600
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2019
Last Update Date
February 7, 2024
Certification Date
February 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
167 Gano St
Providence, RI 02906-3808
Zip
02906-3808
Phone Number
401-274-2600
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
10 Dalebrook CT
Canton, MA 02021-2592
City
Canton
State
MA
Zip
02021-2592
Phone Number
914-671-3141

License Information

License Number
DN1858348
License State
MA
Taxonomy
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 Erica Kleinbaum, DMD?

The NPI number of Erica Kleinbaum, DMD is 1558927228. It was assigned on May 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Erica Kleinbaum, DMD?

Erica Kleinbaum, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number DN1858348.

Where does Erica Kleinbaum, DMD practice?

The practice location is 167 Gano St, Providence, RI 02906-3808. The office can be reached at 401-274-2600 (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 1558927228 directly on the NPPES registry website.

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