Richard H Carlson, D.D.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Newport, RI
NPI 1871658005 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871658005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 1475 (RI)
- Practice address
- 31 Long Wharf Mall
Newport, RI 02840-2906 - Phone
- (401) 846-9770
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1475 | RI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1475 | RI | Yes |
Addresses
Primary practice location
31 Long Wharf Mall
Newport, RI 02840-2906
Mailing address
31 Long Wharf Mall
Newport, RI 02840-2906
Phone (401) 846-9770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1475 | Other | RI | LISCENCE NUMBER |
Other providers in Newport, RI
- Morgan Rogers Campbell
- Helen L Cann
- Yi Cao
- Kathryn Caragianis
- Kayla Carey
- Gail E Carreau
- Amanda Beth Carsten
- Vicki Carter
- Isabella Casamassima
- Catherine Cassata
All providers in Newport, RI · Orthodontics and Dentofacial Orthopedics Dentistry in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.