Active NPIOrganization

Periodontal Associates, LTD.

Dentist, Periodontics in Providence, Rhode Island

NPI Number1801206677
Practice location
189 Governor St, Providence, RI 02906-3124
Fax
—
Last updated
May 2, 2014

Periodontal Associates, LTD. is a healthcare organization based in Providence, RI. Periodontal Associates, LTD. practices in Providence, RI. The NPI Number for Periodontal Associates, LTD. is 1801206677 and holds a License No. 3206 (RI). The current practice location address for Periodontal Associates, LTD. is 189 Governor St, Providence, RI 02906-3124 and can be reached out via phone at 401-421-6464.

Provider Profile Details

NPI Number
1801206677
Provider Name
Periodontal Associates, LTD.
Provider Entity Type
Organization
Address
189 Governor St, Providence, RI 02906-3124
Phone Number
401-421-6464
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Dr. Fayez G Badlissi, DMD · Owner · 401-421-6464
Provider Enumeration Date
May 2, 2014
Last Update Date
May 2, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
189 Governor St
Providence, RI 02906-3124
Zip
02906-3124
Phone Number
401-421-6464
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
189 Governor St
Providence, RI 02906-3124
City
Providence
State
RI
Zip
02906-3124
Phone Number
401-421-6464

License Information

License Number
3206
License State
RI
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 Periodontal Associates, LTD.?

The NPI number of Periodontal Associates, LTD. is 1801206677. It was assigned on May 2, 2014 and is currently active in the NPPES registry.

What is the specialty of Periodontal Associates, LTD.?

Periodontal Associates, LTD. is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in RI under license number 3206.

Where does Periodontal Associates, LTD. practice?

The practice location is 189 Governor St, Providence, RI 02906-3124. The office can be reached at 401-421-6464 (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 1801206677 directly on the NPPES registry website.

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