Molar Dental, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN02737 Issued in RI

Legal business name

MOLAR DENTAL, LTD

Practice address

572 Smithfield Rd
Unit 17
North Providence, RI 02904-3892

Phone

(401) 256-5250

Fax

(401) 270-9937

NPI assigned

Feb 18, 2016

Organization subpart

No

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

Authorized official

Name

Cornelius (Neil) John Leahey, DMD

Title

General Dentist/President

Phone

(401) 256-5250

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1043679004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 SMITHFIELD RD",
            "address_2": "UNIT 17",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043892",
            "telephone_number": "401-256-5250",
            "fax_number": "401-270-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 SMITHFIELD RD",
            "address_2": "UNIT 17",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043892",
            "telephone_number": "401-256-5250",
            "fax_number": "401-270-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLAR DENTAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "LEAHEY",
        "authorized_official_first_name": "CORNELIUS (NEIL)",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "GENERAL DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "401-256-5250",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN02737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.