Active NPI
Wicked Good Dental PLLC
- General Practice Dentistry
- Warwick, RI
National Provider Identifier
1144112558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WICKED GOOD DENTAL PLLC
- Practice address
- 1 Lambert Lind Hwy Ste C
Warwick, RI 02886-1160 - Phone
- (774) 280-2704
- NPI assigned
- Jul 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Ross Tubo, DMD
- Title
- Owner
- Phone
- (508) 377-2525
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1 Lambert Lind Hwy Ste C
Warwick, RI 02886-1160
Mailing address
1 Lambert Lind Hwy Ste C
Warwick, RI 02886-1160
Phone (774) 280-2704
Other names 1
- Oaklawn Family Dental
National Provider Directory
National Provider DirectoryLocations
1 Lambert Lind Hwy
Ste C
Warwick, RI 02886
Phone (401) 463-7676
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Whitinsville, MA
- NPI 1053567396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752796800000",
"number": "1144112558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LAMBERT LIND HWY STE C",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861160",
"telephone_number": "774-280-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LAMBERT LIND HWY STE C",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861160",
"telephone_number": "774-280-2704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WICKED GOOD DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-18",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A",
"authorized_official_last_name": "TUBO",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "ROSS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-377-2525",
"authorized_official_name_prefix": "Dr.",
"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": [
{
"organization_name": "Oaklawn Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.