Organization Active NPI

Charbonneau Dental, LTD

  • General Practice Dentistry
  • Wakefield, RI
National Provider Identifier
1225740988
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHARBONNEAU DENTAL, LTD
Practice address
24 Salt Pond Rd Ste A2
Wakefield, RI 02879-4304
Phone
(401) 783-4223
Fax
(401) 783-1228
NPI assigned
Dec 14, 2022
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Nicholas Charbonneau, DMDNPI 1770162984
Title
Dentist/ President
Phone
(401) 783-4223

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 Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

24 Salt Pond Rd Ste A2
Wakefield, RI 02879-4304

Mailing address

24 Salt Pond Rd Ste A2
Wakefield, RI 02879-4304
Phone (401) 783-4223

National Provider Directory

National Provider Directory

Locations

24 Salt Pond Rd
Ste A2
Wakefield, RI 02879
Phone (401) 783-4223

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1225740988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE A2",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794304",
            "telephone_number": "401-783-4223",
            "fax_number": "401-783-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE A2",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794304",
            "telephone_number": "401-783-4223",
            "fax_number": "401-783-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARBONNEAU DENTAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "CHARBONNEAU",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DENTIST/ PRESIDENT",
        "authorized_official_telephone_number": "401-783-4223",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.