Ocean State Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OCEAN STATE FAMILY DENTAL

Practice address

903 Tiogue Ave
Coventry, RI 02816-6300

Phone

(443) 995-2829

NPI assigned

Apr 1, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Simon Pun, DDSNPI 1861002487

Title

Dentist

Phone

(443) 995-2829

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.

• Simon Pun, DDS

  • Dentist
  • Bristol, CT
  • NPI 1861002487
  NPD Authorized official

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1376483818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WAKE ROBIN RD UNIT 3103",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028655229",
            "telephone_number": "443-995-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 TIOGUE AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166300",
            "telephone_number": "443-995-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "PUN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "443-995-2829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryann Kayleigh Nolan, PA-C
• Northland Hearing Center, Inc.
• Jennifer O'Brien, PT, DPT
• Cara Anne O'Connor, FNP
• Brendan O'Donnell
• Ocean State Primary Care Center of Coventry, LLC
• Ocean State Urgent Care Center of Coventry, LLC
• Nicole Ann Oksanish, FNP-C, RN
• Ashley Oliveras, LMT
• Kathleen Marie Olsson, OTRL

• General Practice Dentistry in Coventry, RI
• Providers in Coventry, 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 Apr 1, 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.