NPI 1598043630 · live from the CMS NPI Registry
Blackstone Valley Family Dental Associates
Dentist, General Practice in Cranston, RI. National Provider Identifier 1598043630, active.
NPI record
| NPI | 1598043630 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 465 Reservoir Ave, Cranston, RI 02910 |
| Practice phone | 401-450-2177 |
| Enumerated | July 22, 2011 |
| Last updated | July 22, 2011 |
| Authorized official | Benjamin Rodrick, Executive Administrator |
| Other names | Ri Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | den0314 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.