Organization Active NPI

Wicked Good Dental PLLC

  • General Practice Dentistry
  • Warwick, RI
National Provider Identifier
1144112558
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Dr. Jason Ross Tubo, DMDNPI 1053567396
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.