REYNALDO P BADUYA SR.DMD NPI 1912297425

NPI Information

  • NPI: 1912297425
  • Provider Name: REYNALDO P BADUYA SR.,DMD
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 252 ADELAIDE AVENUE
    PROVIDENCE, RI
    ZIP 02907
  • Phone: (401) 941-2600

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NPI Details

REYNALDO P BADUYA SR.,DMD is a dental clinic center in Providence, RI. REYNALDO P BADUYA SR.,DMD NPI is 1912297425. The provider is registered as an organization entity type.

The provider's business location address is:

252 ADELAIDE AVENUE
PROVIDENCE, RI
ZIP 02907
Phone: (401) 941-2600
Fax: (401) 941-2600

The provider's authorized official is Yvette Ramirez .
The authorized official title is Office Manager and has the following contact phone number (401) 941-2600.

The enumeration date for this NPI number is 4/18/2011 and was last updated on 4/18/2011.

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/CenterDental2491RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RB33847MEDICAIDRHODE ISLAND

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: 3/30/2025

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