Xiao Dong, DMD
Individual provider Active NPI Dentist · North Providence, RI
NPI 1609200377 · NPPES record last updated Aug 29, 2013
Key facts
- NPI
- 1609200377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DEN03193 (RI)
- Practice address
- 870 Charles St
North Providence, RI 02904-5643 - Phone
- (401) 475-9898
- NPI assigned
- Aug 29, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN03193 | RI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincy Dental Specialists Group LLC | Current | Accepting new patients | |
| Wollaston Dental Group | Current | Accepting new patients | |
| Dr John Ricci DMD Dba Charles Street Dental | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN03193 | RI | Yes |
Addresses
Primary practice location
870 Charles St
North Providence, RI 02904-5643
Mailing address
870 Charles St
North Providence, RI 02904-5643
Phone (401) 475-9898
Other providers in North Providence, RI
- Paul Dionisopoulos
- Gina Lynn Diruzzo
- Mary Disanto
- Trin C DO
- Donald V. Fargnoli, M.D., Inc.
- Dr John Ricci DMD Dba Charles Street Dental
- Constance Marie Ducharme
- William Durst
- East Coast Electrodiagnostic, Inc.
- Eastern Vision Group
All providers in North Providence, RI · Dentist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.