Donald Reno Ferraro, DDS

Individual provider Active NPI General Practice Dentistry · Coventry, RI

NPI 1679386288 · NPPES record last updated Jan 15, 2026

Key facts

NPI
1679386288
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DEN03802 (RI)
Practice address
121 Sandy Bottom Rd
Coventry, RI 02816-5865
Phone
(401) 240-1153
NPI assigned
Jan 28, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2901602308MIMDGeneral Practice Dentistry
DEN03802RIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Susko, DDS Current
since Feb 2, 2025
Accepting new patients

Locations

20737 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 294-7810

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN03802 RI Yes
General Practice Dentistry 1223G0001X 2901602308 MI

Addresses

Primary practice location

121 Sandy Bottom Rd
Coventry, RI 02816-5865

Mailing address

1597 Westminster St Apt 3
Providence, RI 02909-1851
Phone (313) 207-9659

Other providers in Coventry, RI

All providers in Coventry, RI · General Practice Dentistry in Rhode Island

Sources for this page

Verify at the official NPI Registry.