Warwick Family Dental Group 3, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WARWICK FAMILY DENTAL GROUP 3, LLC

Practice address

819 Greenwich Ave
Warwick, RI 02886-1815

Phone

(401) 739-8337

NPI assigned

Sep 23, 2019

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

Owner/Dentist

Phone

(781) 367-3369

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1124679030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 GREENWICH AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861815",
            "telephone_number": "401-739-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 GREENWICH AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861815",
            "telephone_number": "401-739-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARWICK FAMILY DENTAL GROUP 3, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "MUNAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "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 Warwick, RI
• Providers in Warwick, 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 Jul 9, 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.