Organization Active NPI

Tammy J. Clifford, DDS, a Professional Service Corp

  • Dentist
  • Greenville, RI
National Provider Identifier
1104964063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
02777 Issued in RI
Legal business name
TAMMY J. CLIFFORD, DDS, A PROFESSIONAL SERVICE CORP
Practice address
445 Putnam Pike
Greenville, RI 02828-2430
Phone
(401) 231-4407
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tammy J. Clifford, DDS
Title
Owner
Phone
(401) 231-4407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 02777 RI Primary

Addresses

Primary practice location

445 Putnam Pike
Greenville, RI 02828-2430

Mailing address

445 Putnam Pike
Greenville, RI 02828-2430
Phone (401) 231-4407

National Provider Directory

National Provider Directory

Locations

445 Putnam Pike
Greenville, RI 02828
Phone (401) 231-4407

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104964063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 PUTNAM PIKE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028282430",
            "telephone_number": "401-231-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PUTNAM PIKE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028282430",
            "telephone_number": "401-231-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY J. CLIFFORD, DDS, A PROFESSIONAL SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-231-4407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": "02777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.