Organization Active NPI

Providence Dental PC

  • Prosthodontics
  • Providence, RI
National Provider Identifier
1588501506
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
PROVIDENCE DENTAL PC
Practice address
116 Wayland Ave
Providence, RI 02906-4316
Phone
(401) 861-1343
NPI assigned
Apr 29, 2026
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Alaa Ahmed
Title
Owner
Phone
(617) 596-6323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X
Prosthodontics 1223P0700X Primary

Addresses

Primary practice location

116 Wayland Ave
Providence, RI 02906-4316

Mailing address

116 Wayland Ave
Providence, RI 02906-4316

National Provider Directory

National Provider Directory

Locations

116 Wayland Ave
Providence, RI 02906
Phone (401) 861-1343

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": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1588501506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WAYLAND AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064316",
            "fax_number": "401-453-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WAYLAND AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064316",
            "telephone_number": "401-861-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ALAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-596-6323"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.