City Dental, Llc

LBN: City Dental, Llc
City Dental, Llc is an health care organization with primary practice located at 314F Pocasset Avenue , Providence RI 02909. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is the primary health care specialty. City Dental, Llc can be contacted via phone (401) 942-5051, or through Deayala, Cielito R via phone (401) 942-5051.

Contact Information

Primary practice address
314F Pocasset Avenue Providence RI 02909
Fax: (401) 942-5156
Website:
Authorized official contact:
Name: Deayala, Cielito R

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN02737 Rhode Island
Dental Providers / Periodontics 1223P0300X DEN02637 Rhode Island

Profile Details

NPI number 1477736452
LBN Legal business name City Dental, Llc
DBA Doing business as
Authorized official Deayala, Cielito R
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2007
Last updated Dec 12th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477736452 NPPES
Rhode Island Other DEN02737 DMD

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