Dental Group of Pawtucket

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL GROUP OF PAWTUCKET

Practice address

1571 Newport Ave
Suite 2
Pawtucket, RI 02861-1351

Phone

(401) 722-3344

Fax

(401) 725-9755

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Raj V Dulala, B.D.S., D.M.D.NPI 1649310988

Title

Owner

Phone

(401) 722-3344

Specialties & licenses 1

Addresses

Other names 1

• DMD Dental of Pawtucket Doing business as

Locations

Practitioners 1

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

• Raj Venkat Dulala, BDS, DMD

  • General Practice Dentistry
  • Pawtucket, RI
  • NPI 1649310988
  NPD (past) Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1740451509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 NEWPORT AVE",
            "address_2": "SUITE 2",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611351",
            "telephone_number": "401-722-3344",
            "fax_number": "401-725-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 NEWPORT AVE",
            "address_2": "SUITE 2",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611351",
            "telephone_number": "401-722-3344",
            "fax_number": "401-725-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF PAWTUCKET",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "DULALA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-722-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.D.S., D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMD Dental of Pawtucket",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Delyani
• Angela Demartinis, MASTERS
• Elizabeth Demers, PT
• Meredith M Denno, LICSW LCDP
• Crystal Lee Dent, BT
• Christina A Denton, LCDP
• Denture Repair Lab Corporation
• James Derderian, PHARMD.
• Jennifer Derossi-Dacosta, RN,CDE,CDOE
• Jeffrey Scott Derouin

• General Practice Dentistry in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.