Reservoir Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RESERVOIR DENTAL LLC

Doing business as

Reservoir Dental

Practice address

725 Reservoir Ave Ste 304
Cranston, RI 02910-4452

Phone

(401) 400-8868

Fax

(401) 406-2710

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Vlad Botezatu, DMDNPI 1831329200

Title

Dentist

Phone

(401) 400-8868

Specialties & licenses 1

Addresses

Other names 1

• Reservoir Dental Doing business as

Locations

Practitioners 1

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.

• Vlad Botezatu, DMD

  • General Practice Dentistry
  • Cranston, RI
  • NPI 1831329200
  NPD Authorized official

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1609553759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 304",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104452",
            "telephone_number": "401-400-8868",
            "fax_number": "401-406-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 304",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104452",
            "telephone_number": "401-400-8868",
            "fax_number": "401-406-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESERVOIR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "BOTEZATU",
        "authorized_official_first_name": "VLAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "401-400-8868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reservoir Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael S Reilly, DDS
• Jasmine Anne Reis, OTR/L
• Leigh Remington, DNP
• Margarida A Renzi, MA,RYT,LCDP
• Jorge Luis Resendiz, MSN, APRN-CNP, FNP-C
• Reservoir Family Dental, LLC
• Restore Physical Therapy, LLC
• Dakota Reyes
• Maura Bridgett Reynolds, DMD
• Rhode Island Center for Balance Disorders, LLC

• General Practice Dentistry in Cranston, RI
• Providers in Cranston, 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 Jun 30, 2023; 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.