NPI 1225787708 · live from the CMS NPI Registry
31 Elmgrove Dental LLC
Dentist, General Practice in Providence, RI. National Provider Identifier 1225787708, active.
NPI record
| NPI | 1225787708 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 31 Elmgrove Ave, Providence, RI 02906 |
| Practice phone | 401-421-9350 |
| Enumerated | March 22, 2022 |
| Last updated | March 22, 2022 |
| Authorized official | Jessica Polak, Office Manager |
| Other names | Dr Lawrence D Page DMD INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.