Organization Active NPI

Cityline Dental Inc.

  • General Practice Dentistry
  • Providence, RI
National Provider Identifier
1053537464
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
02534 Issued in RI
Legal business name
CITYLINE DENTAL INC.
Practice address
400 Reservoir Ave Ste 1D
Providence, RI 02907-3594
Phone
(401) 941-3353
Fax
(401) 461-6558
NPI assigned
Apr 17, 2007
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Dr. Michael C. Furia, D.M.D.NPI 1043345226
Title
President
Phone
(401) 941-3353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 02534 RI Primary

Addresses

Primary practice location

400 Reservoir Ave Ste 1D
Providence, RI 02907-3594

Mailing address

400 Reservoir Ave Ste 1D
Providence, RI 02907-3594
Phone (401) 941-3353

Other identifiers 2

IdentifierTypeStateIssuer
MF26813MedicaidRI
CD57363MedicaidRI

National Provider Directory

National Provider Directory

Locations

400 Reservoir Ave
Ste 1D
Providence, RI 02907
Phone (401) 781-2400

400 Reservoir Ave
Ste 3D
Providence, RI 02907

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1053537464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RESERVOIR AVE STE 1D",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029073594",
            "telephone_number": "401-941-3353",
            "fax_number": "401-461-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RESERVOIR AVE STE 1D",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029073594",
            "telephone_number": "401-941-3353",
            "fax_number": "401-461-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYLINE DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "FURIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-941-3353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "02534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MF26813",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CD57363",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.