NPI 1235979923 · live from the CMS NPI Registry
Rusul Abdulrazzaq, DDS
Dentist in Providence, RI. National Provider Identifier 1235979923, active.
NPI record
| NPI | 1235979923 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 335r Prairie Ave, Providence, RI 02905 |
| Practice phone | 401-444-0430 |
| Mailing address | 375 Allens Ave, Providence, RI 02905 |
| Enumerated | May 29, 2024 |
| Last updated | June 5, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | DEN03720 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.