Organization · Type 2 NPI

City Dental of Woonsocket, LLC

Periodontics · Woonsocket, RI

NPI number 1265759567 Active

Practice location

515 Social St
Woonsocket, RI 02895-2043

Specialties and licenses

Taxonomy	Code	License
Periodontics Primary	1223P0300X	None listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Another provider at this address

Social Street DentalEndodontics Woonsocket, RI NPI 1194215160

NPI record

NPI: 1265759567
Entity type: Organization (Type 2)
Issued: Apr 26, 2010
Last updated: Apr 26, 2010
Status: Active
Subpart: Yes of City Dental, LLC

Other names

<unavail>
City Dental of Woonsocket, LLC · former legal business name

Authorized official

Mrs. Josephine Roca, BA
Office Manager
(401) 597-5920

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265759567

City Dental of Woonsocket, LLC's National Provider Identifier is 1265759567, issued on Apr 26, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Woonsocket, RI. The record was last updated on Apr 26, 2010.