Denture Repair Lab Corporation

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

DENTURE REPAIR LAB CORPORATION

Practice address

541 Newport Ave
Pawtucket, RI 02861-3624

Phone

(401) 725-5777

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Anna Freeman

Title

Manager

Phone

(401) 725-5777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1669188199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 NEWPORT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028613624",
            "telephone_number": "401-725-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 NEWPORT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028613624",
            "telephone_number": "401-725-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTURE REPAIR LAB CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "401-725-5777"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Demers, PT
• Meredith M Denno, LICSW LCDP
• Crystal Lee Dent, BT
• Dental Group of Pawtucket
• Christina A Denton, LCDP
• James Derderian, PHARMD.
• Jennifer Derossi-Dacosta, RN,CDE,CDOE
• Jeffrey Scott Derouin
• Zeel Pareshkumar Desai, PT
• Joan C Desantis, MD

• Dental Laboratory in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Dental Laboratory in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.