Resolute Wells Street

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RESOLUTE WELLS STREET

Doing business as

Rebecca J. Woodward D.M.D. and Adam S. Kaufman D.M.D. Family Dentistry
Westerly Dentists

Practice address

11 Wells St Ste 4&5
Westerly, RI 02891-2959

Phone

(401) 596-0888

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Toback, DMD, MS

Title

Ceo

Phone

(860) 776-6240

Specialties & licenses 1

Addresses

Other names 2

• Rebecca J. Woodward D.M.D. and Adam S. Kaufman D.M.D. Family Dentistry Doing business as
• Westerly Dentists Doing business as

Locations

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1699510552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HEMPSTEAD ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206248",
            "telephone_number": "860-776-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WELLS ST STE 4&5",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912959",
            "telephone_number": "401-596-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTE WELLS STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "TOBACK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-776-6240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca J. Woodward D.M.D. and Adam S. Kaufman D.M.D. Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westerly Dentists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mourad Rahim, D.M.D.
• Carrie Susanne Raimondo, MS, NCC, LPC, LMHC
• Joaquin Ramos, DO
• Crystal Rekowski
• Leigh A Reposa, LICSW
• Rhode Island CVS Pharmacy LLC (CVS Pharmacy # 00971)
• Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 01544)
• Rhode Island Pain Medicine Inc
• Rhode Island Post Acute Medical Services 1 PC
• Rhode Island Vascular Center, LLC (The Vascular Experts - Rhode Island)

• Dental Clinic/Center in Westerly, RI
• Providers in Westerly, RI by specialty
• Dental Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.