Rhode Island Childrens Dentistry
LBN: Rhode Island Childrens Dentistry
Rhode Island Childrens Dentistry is an health care organization with primary practice located at 840 Tiogue Ave , Coventry RI 02816-5914. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty.
Rhode Island Childrens Dentistry can be contacted via phone (401) 828-1171, or through Gordon, William via phone (401) 828-1171.
Contact Information
Primary practice address
840 Tiogue Ave
Coventry RI 02816-5914
Phone: (401) 828-1171
Fax:
Website:
Authorized official contact:
Name: Gordon, William Doctor of Dental Medicine (DMD)
Phone: (401) 828-1171
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | DEN03331 | Rhode Island |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | RI2421 | Rhode Island |
Profile Details
| NPI number | 1427586775 |
|---|---|
| LBN Legal business name | Rhode Island Childrens Dentistry |
| DBA Doing business as | |
| Authorized official | Gordon, William Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427586775 | NPPES |
| Rhode Island | Other | 1073900338 | NPI |
| Rhode Island | Other | 1730152182 | NPI |
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