Lakeside Dental, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAKESIDE DENTAL, INC.

Practice address

34 Nooseneck Hill Rd
Unit #1
West Greenwich, RI 02817-1509

Phone

(401) 392-3320

Fax

(401) 392-3380

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul F. Calitri, D.M.D.NPI 1104835420

Title

President

Phone

(401) 392-3320

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Calitri, DMD

  • General Practice Dentistry
  • West Greenwich, RI
  • NPI 1104835420
  NPD (past) Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1205018033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 NOOSENECK HILL RD",
            "address_2": "UNIT #1",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028171509",
            "telephone_number": "401-392-3320",
            "fax_number": "401-392-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 NOOSENECK HILL RD",
            "address_2": "UNIT #1",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028171509",
            "telephone_number": "401-392-3320",
            "fax_number": "401-392-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "CALITRI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-392-3320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Horsepower Therapeutics
• Jessica Joaquim, RN
• Andon Paul Joseph, MSW, LICSW
• Rachel Ko, MASTERS
• Michael Clarence Lafrancois, EMTC
• Cynthia Livsey, LMHC
• James Daniel Lovinsky, DACM, LAC
• Angela McCann, ND, DAOM
• Emily McGovern
• Marybeth McGovern, MS, PT

• Dental Clinic/Center in West Greenwich, RI
• Providers in West Greenwich, RI by specialty
• Dental Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.