Dental Group of Wakefield LLC

Primary specialty

DentistTaxonomy code 122300000X

License

2931 Issued in RI

Legal business name

DENTAL GROUP OF WAKEFIELD LLC

Practice address

26 South County Commons
Dental Group of Wakefield LLC
Wakefield, RI 02880

Phone

(401) 789-9718

NPI assigned

Jul 19, 2011

Last updated

Jul 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Brian Capalbo, DMD

Title

Owner

Phone

(401) 789-9718

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1699063099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SOUTH COUNTY COMMONS WAY",
            "address_2": "DENTAL GROUP OF WAKEFIELD LLC",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "02880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SOUTH COUNTY COMMONS",
            "address_2": "DENTAL GROUP OF WAKEFIELD LLC",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "02880",
            "telephone_number": "401-789-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF WAKEFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "CAPALBO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-789-9718",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "2981",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Consultants of South County Inc
• Sarah Demartino, FNP
• Kayla Marie Denis, PA-C
• Dental Assoc of Wakefield
• Dental Associates of Wakefield, Inc
• Frank Albert Dequattro, D.M.D.
• Mark Deresienski, O.D.
• Robert Desrosiers, APRN NP-C
• Hannah N Deutschman, CNM
• Rebecca S Dexter, LICSW

• Dentist in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.