Ocean State Dental Group Inc

Primary specialty

DentistTaxonomy code 122300000X

License

2584 Issued in RI

Legal business name

OCEAN STATE DENTAL GROUP INC

Practice address

1522 Elmwood Ave
Cranston, RI 02910

Phone

(401) 467-6363

Fax

(401) 467-7613

NPI assigned

Dec 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter John Dallesandro, DDSNPI 1982765897

Title

President

Phone

(401) 467-6363

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, and the practitioner matching its NPPES authorized official.

• Peter John D Allesandro, DDS

  • Dentist
  • Cranston, RI
  • NPI 1982765897
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972664894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 ELMWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02910",
            "telephone_number": "401-467-6363",
            "fax_number": "401-467-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 ELMWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02910",
            "telephone_number": "401-467-6363",
            "fax_number": "401-467-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALLESANDRO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-467-6363",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": "2584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Oforiwaa Obeng, APRN
• Olga Viktorovna Obraztsova, PH.D.
• Dawne A Obrien, RN
• Lisbeth Obrien, PHARMD
• Ocean State Academy Cranston, LLC
• Ocean State Dental Hygiene Services, LLC
• Ocean State Endodontics
• Ocean State Urgent Care Center of Cranston, LLC
• Quennster Odonkor
• Emma Ofner, ATC, MS, LAT

• Dentist in Cranston, RI
• Providers in Cranston, RI by specialty
• Dentist 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.