401 Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

401 DENTAL, LLC

Practice address

41 Sanderson Rd Ste 106
Smithfield, RI 02917-2611

Phone

(401) 349-3290

NPI assigned

May 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christina PopovNPI 1396417044

Title

Single Member

Phone

(401) 660-7460

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Popov, DMD

  • Dentist
  • Smithfield, RI
  • NPI 1396417044
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1013756683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 KENNEDY CT",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643568",
            "telephone_number": "401-660-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SANDERSON RD STE 106",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172611",
            "telephone_number": "401-349-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "401 DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "POPOV",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "401-660-7460"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abdul Rahman Al Hout, MD
• Sandra Alfred, NP

• All providers in Smithfield, RI
• Dental Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.