Individual provider Active NPI

Glenn Legaspi Dominguez, DMD

  • General Practice Dentistry
  • Woonsocket, RI
National Provider Identifier
1316045578
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN02402 Issued in RI
Practice address
2345 Mendon Rd Ste 3
Woonsocket, RI 02895-6164
Phone
(401) 766-9090
Fax
(401) 766-9090
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN02402 RI Primary

Addresses

Primary practice location

2345 Mendon Rd Ste 3
Woonsocket, RI 02895-6164

Mailing address

90 Osprey Dr
East Greenwich, RI 02818-1340
Phone (401) 885-1225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN02402RIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn L. Dominguez, D.M.D., LLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

2345 Mendon Rd
Ste 3
Woonsocket, RI 02895
Phone (401) 766-9090

219 Cass Ave
Ste E
Woonsocket, RI 02895

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1316045578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 OSPREY DR",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181340",
            "telephone_number": "401-885-1225"
        },
        {
            "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": "401-766-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "GLENN",
        "middle_name": "LEGASPI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "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 Dec 2, 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.