City Dental, Llc
LBN: City Dental, Llc
City Dental, Llc is an health care organization with primary practice located at 314F Pocasset Avenue , Providence RI 02909. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is the primary health care specialty.
City Dental, Llc can be contacted via phone (401) 942-5051, or through Deayala, Cielito R via phone (401) 942-5051.
Contact Information
Primary practice address
314F Pocasset Avenue
Providence RI 02909
Phone: (401) 942-5051
Fax: (401) 942-5156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DEN02737 | Rhode Island |
| Dental Providers / Periodontics | 1223P0300X | DEN02637 | Rhode Island |
Profile Details
| NPI number | 1477736452 |
|---|---|
| LBN Legal business name | City Dental, Llc |
| DBA Doing business as | |
| Authorized official | Deayala, Cielito R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 12th, 2007 |
| Last updated | Dec 12th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477736452 | NPPES |
| Rhode Island | Other | DEN02737 | DMD |
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