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CRANSTON PEDIATRIC DENTISTRY PC NPI 1053803825


NPI Information

NPI: 1053803825
Provider Name: CRANSTON PEDIATRIC DENTISTRY PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
67 PHENIX AVE
CRANSTON, RI
ZIP 02920
Phone: (617) 818-0573
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CRANSTON PEDIATRIC DENTISTRY PC is a dental clinic center in Cranston, RI. CRANSTON PEDIATRIC DENTISTRY PC NPI is 1053803825. The provider is registered as an organization entity type.

The provider's business location address is:

67 PHENIX AVE
CRANSTON, RI
ZIP 02920-233
Phone: (617) 818-0573

The provider's authorized official is Athanasios Zavras .
The authorized official title is President and has the following contact phone number (617) 818-0573.

The enumeration date for this NPI number is 6/6/2018 and was last updated on 6/6/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalDEN03342RHODE ISLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.