Woonsocket Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN2031 Issued in RI

Legal business name

WOONSOCKET DENTAL ASSOCIATES

Practice address

2000 Diamond Hill Rd
Woonsocket, RI 02895-1554

Phone

(401) 766-8600

Fax

(401) 766-8601

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Brian Forman, D.M.D.NPI 1639260276

Title

President

Phone

(401) 766-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Michael Brian Forman, D.M.D.

  • General Practice Dentistry
  • Woonsocket, RI
  • NPI 1639260276
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861585671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DIAMOND HILL RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028951554",
            "telephone_number": "401-766-8600",
            "fax_number": "401-766-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 DIAMOND HILL RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028951554",
            "telephone_number": "401-766-8600",
            "fax_number": "401-766-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOONSOCKET DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-766-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "RI",
            "license": "DN2031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WD02303",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Wilmot-Chin, N.P
• Heather Winer
• Sarah Wirtenson
• Therese M Woodford, PCNS
• Laura Ann Woods, LICSW
• Woonsocket Education Department
• Woonsocket Education Department
• Woonsocket Hospitalists
• Woonsocket Housing Authority
• Woonsocket Laboratory Services

• Dental Clinic/Center in Woonsocket, RI
• Providers in Woonsocket, 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 Aug 22, 2020; 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.