Organization · Type 2 NPI

Millenium Dental Inc.

General Practice Dentistry · Providence, RI

NPI number 1629568357 Active

Practice location

314F Pocasset Ave
Providence, RI 02909-4828

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	DEN3080 (RI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

Other general practice dentistry providers in Providence

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NPI record

NPI: 1629568357
Entity type: Organization (Type 2)
Issued: May 17, 2018
Last updated: Jun 16, 2018
Status: Active

Other names

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Millenium Dental, Inc · former legal business name
Millenium Dental Inc · former legal business name
Millenium Dental Inc. · former legal business name

Authorized official

Mrs. Cielo R. Deayala
Manager
(401) 942-5051

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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 1629568357

Millenium Dental Inc.'s National Provider Identifier is 1629568357, issued on May 17, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Providence, RI. The record was last updated on Jun 16, 2018.