Wickford Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

WICKFORD ORTHODONTICS, LLC

Practice address

320 Phillips St
Suite 202
North Kingstown, RI 02852-5149

Phone

(401) 295-2700

Fax

(401) 295-0008

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Staci Paletta, D.M.D.NPI 1861418063

Title

Partner

Phone

(401) 295-2700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Staci Chantelle Paletta, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raynham, MA
  • NPI 1861418063
  NPD (past) Authorized official

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1710187240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PHILLIPS ST",
            "address_2": "SUITE 202",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525149",
            "telephone_number": "401-295-2700",
            "fax_number": "401-295-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PHILLIPS ST",
            "address_2": "SUITE 202",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525149",
            "telephone_number": "401-295-2700",
            "fax_number": "401-295-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKFORD ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "PALETTA",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "401-295-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wickford Family Medicine LLC
• Wickford Family Practice LLC
• Wickford Internists, Inc.
• Wickford Optical, LLC
• Wickford Orthodontics
• Jennifer Susan Wilkinson Shepherd, M.S.
• Peter Wilkinson, APRN, NP-C
• Sharnese K Williams
• Mackenzie Wolk, LMHCA
• Carla Marie Woloohojian, MS,CCC-SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.