East Providence Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EAST PROVIDENCE DENTAL CARE, LLC

Practice address

2441 Pawtucket Ave
East Providence, RI 02914-2915

Phone

(401) 438-4985

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Munal S. Salem, DMD

Title

Owner/Dentist

Phone

(781) 367-3369

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anthony Thomas Correia, DDS

  • General Practice Dentistry
  • East Providence, RI
  • NPI 1518029404
  NPD (past)

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1902424674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142915",
            "telephone_number": "401-438-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142915",
            "telephone_number": "401-438-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PROVIDENCE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "MUNAL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "781-367-3369",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorette Dussault, LICSW
• Pauline Marie Dwyer, LICSW
• Each and Every Voice LTD.
• East Bay Oral Surgery
• East Point Behavioral Health LLC
• East Providence Emergency Room Inc
• East Providence Footcare,Inc.
• East Providence Senior Center
• East Providence Senior Center
• East Side Clinical Laboratory, Inc.

• General Practice Dentistry in East Providence, RI
• Providers in East Providence, 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 Jul 9, 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.