Jefferson Dental Associates, L.T.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1846 Issued in RI

Legal business name

JEFFERSON DENTAL ASSOCIATES, L.T.D.

Practice address

222 Jefferson Blvd
Warwick, RI 02888-3855

Phone

(401) 739-2350

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Melvin Eric Hanzel, D.M.D.

Title

President

Phone

(401) 739-2350

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1780858639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883855",
            "telephone_number": "401-739-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883855",
            "telephone_number": "401-739-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON DENTAL ASSOCIATES, L.T.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "HANZEL",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-739-2350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "RI",
            "license": "2610",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "1846",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2654",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "RI",
            "license": "1681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer F Jarbeau, MD
• Catherine M Jarvie, RD LDN
• Milloni Amit Jasani, MD
• Debra Jean-Laurent, LCDP
• Jefferson Dental Associates II, LLC
• Rebecca L Jendzejec, MA, BCBA
• Teresa L Jenkins
• Kerry L Jenness
• Sarah Langdon Jennewein, MD
• Jennifer Jennings, NP

• General Practice Dentistry in Warwick, RI
• Providers in Warwick, 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 Apr 22, 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.