NPIMap

Organization Active NPI

Robert S Gilardetti, DMD, MD, Inc

Doing business as South County Oral, Maxillofacial and Implant Surgical Center

  • Oral and Maxillofacial Surgery Clinic/Center
  • Wakefield, RI
National Provider Identifier
1053584730
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
09827 Issued in RI
Legal business name
ROBERT S GILARDETTI, DMD, MD, INC
Doing business as
South County Oral, Maxillofacial and Implant Surgical Center
Practice address
691 Kingstown Rd
Wakefield, RI 02879-3015
Phone
(401) 789-9758
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Robert Steven Gilardetti, M.D.NPI 1013975952
Title
Presidentowner
Phone
(401) 789-9758

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 09827 RI Primary

Addresses

Primary practice location

691 Kingstown Rd
Wakefield, RI 02879-3015

Mailing address

691 Kingstown Rd
Wakefield, RI 02879-3015
Phone (401) 789-9758

Other names 1

  • South County Oral, Maxillofacial and Implant Surgical Center Doing business as

National Provider Directory

National Provider Directory

Locations

691 Kingstown Rd
Wakefield, RI 02879
Phone (401) 789-9758

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1053584730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 KINGSTOWN RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793015",
            "telephone_number": "401-789-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 KINGSTOWN RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793015",
            "telephone_number": "401-789-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S GILARDETTI, DMD, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "GILARDETTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENTOWNER",
        "authorized_official_telephone_number": "401-789-9758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "09827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Oral, Maxillofacial and Implant Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.