NPI 1467925529 · live from the CMS NPI Registry
Advanced Dentistry Of Rhode Island LLC
Clinic/Center, Dental in Riverside, RI. National Provider Identifier 1467925529, active.
NPI record
| NPI | 1467925529 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Dental 261QD0000X |
| Practice location | 250 Wampanoag Trl Ste 103, Riverside, RI 02915 |
| Practice phone | 401-434-4413 |
| Enumerated | January 10, 2019 |
| Last updated | October 13, 2020 |
| Authorized official | Ryan Lee, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | — |
| Clinic/Center, Dental primary | 261QD0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.