Advanced Dentistry of Rhode Island LLC

Organization Active NPI Dental Clinic/Center · Riverside, RI

NPI 1467925529 · NPPES record last updated Oct 13, 2020

Key facts

NPI
1467925529
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
ADVANCED DENTISTRY OF RHODE ISLAND LLC
Practice address
250 Wampanoag TRL Ste 103
Riverside, RI 02915-2215
Phone
(401) 434-4413
NPI assigned
Jan 10, 2019
Organization subpart
No

Authorized official

Name
Ryan S Lee
Title
President
Phone
(617) 833-0158

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

250 Wampanoag TRL Ste 103
Riverside, RI 02915-2215

Mailing address

250 Wampanoag TRL Ste 103
Riverside, RI 02915-2215
Phone (401) 434-4413

Other providers in Riverside, RI

All providers in Riverside, RI · Dental Clinic/Center in Rhode Island

Sources for this page

Verify at the official NPI Registry.