NPI 1942323621 · live from the CMS NPI Registry
Bayside Dental Incorporated
Dentist in Bristol, RI. National Provider Identifier 1942323621, active.
NPI record
| NPI | 1942323621 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 15 Gooding Ave, Suite 1, Bristol, RI 02809 |
| Practice phone | 401-253-3781 |
| Enumerated | April 9, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Paul Kotuby, Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | DEN01874 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.