Justin Marino

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN03515 Issued in RI

Practice address

6 Blackstone Valley PL BLDG 3
Lincoln, RI 02865-1179

Phone

(401) 333-5500

NPI assigned

Sep 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• C.M.Z. Family Denitstry

  • Dental Clinic/Center
  • West Bridgewater, MA
  • NPI 1013772615
  NPD Authorized official

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1346854692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL BLDG 3",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL BLDG 3",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-333-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.lincolndentalassociatesri.com/",
            "affiliation": "N",
            "address_1": "6 Blackstone Valley Pl Ste 306A",
            "city": "Lincoln",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028651112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dawn Marie Maguire, LICSW
• Puneet Mangal
• Ginger L Manzo, M.D.
• Elizabeth Anne Maranzano, MD
• Jasmin Marin
• Stephanie L Marlin, PA-C
• Kerri Lee Martel, FNP
• Patricia Ryan Martin
• Ashley Martinez
• Jasmine L Martinez, BCBA, LBA

• General Practice Dentistry in Lincoln, RI
• Providers in Lincoln, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.