Spartan Dental of Cranston, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SPARTAN DENTAL OF CRANSTON, LLC

Practice address

105 Sockanosset Cross Rd
Cranston, RI 02920-5560

Phone

(401) 383-7569

NPI assigned

Nov 15, 2021

Organization subpart

No

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

Authorized official

Name

Munal S. Salem, DMD

Title

Dentist/Owner

Phone

(781) 367-3369

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1114683141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOCKANOSSET CROSS RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205560",
            "telephone_number": "401-383-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOCKANOSSET CROSS RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205560",
            "telephone_number": "401-383-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAN DENTAL OF CRANSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "MUNAL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "781-367-3369",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Cranston, RI
• Providers in Cranston, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.