Active NPI
Glenn L. Dominguez, D.M.D., LLC
- Dental Clinic/Center
- Woonsocket, RI
National Provider Identifier
1215332077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DEN02402
- Legal business name
- GLENN L. DOMINGUEZ, D.M.D., LLC
- Practice address
- 2345 Mendon Rd Ste 3
Woonsocket, RI 02895-6164 - Phone
- (401) 766-9090
- Fax
- (401) 766-9070
- NPI assigned
- Oct 22, 2014
- 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. Glenn Legaspi Dominguez, D.M.D.
- Title
- Owner
- Phone
- (401) 766-9122
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 |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DEN02402 | RI | Primary |
Addresses
Primary practice location
2345 Mendon Rd Ste 3
Woonsocket, RI 02895-6164
Mailing address
2345 Mendon Rd Ste 3
Woonsocket, RI 02895-6164
Phone (401) 766-9090
National Provider Directory
National Provider DirectoryLocations
219 Cass Ave
Ste E
Woonsocket, RI 02895
2345 Mendon Rd
Ste 3
Woonsocket, RI 02895
Phone (401) 766-9090
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
- Woonsocket, RI
- NPI 1316045578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768780800000",
"number": "1215332077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 MENDON RD STE 3",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956164",
"telephone_number": "401-766-9090",
"fax_number": "401-766-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 MENDON RD STE 3",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956164",
"telephone_number": "401-766-9090",
"fax_number": "401-766-9070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENN L. DOMINGUEZ, D.M.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "LEGASPI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-766-9122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "RI",
"license": "DEN02402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.