Social Street Dental

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DEN02637 Issued in RI

Legal business name

SOCIAL STREET DENTAL

Doing business as

social street dental

Practice address

515 Social St
Woonsocket, RI 02895-2043

Phone

(401) 597-5920

Fax

(401) 597-5924

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Josefa Rivera

Title

Office Assistant

Phone

(401) 921-1575

Specialties & licenses 1

Addresses

Other names 1

• social street dental Doing business as

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1194215160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SOCIAL ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952043",
            "telephone_number": "401-597-5920",
            "fax_number": "401-597-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SOCIAL ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952043",
            "telephone_number": "401-597-5920",
            "fax_number": "401-597-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JOSEFA",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "401-921-1575"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "RI",
            "license": "DEN02637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "social street dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "social street dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl A Smith, CNP
• Danielle Smith, FNP-C
• Kathleen Mary Smith, NP
• Lori Smith
• Sarah Soares
• Cherie Soderbom, RD
• Rehma Sohail
• Virali Anilkumar Soni, DMD
• Manuella Sonnie
• Sophoeun S Sopheap

• Endodontics in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Endodontics in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.