MIDDLETOWN FAMILY DENTAL, LLC (NPI# 1174026587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174026587 |
| Entity Type | Organization |
| Organization Name | MIDDLETOWN FAMILY DENTAL, LLC |
| Practice Address |
770 Aquidneck Ave Middletown RI 02842-7246 |
| Mailing Address |
29 Updike Ave North Kingstown RI 02852-5728 |
| Practice Telephone | 4018472094 |
| Mailing Telephone | 8609444149 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |
| Authorized Official Name | DR. MICHAEL CAPALBO (CHIEF DENTIST) |
| Authorized Official Telephone | 8609444149 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
1073658258 | Ambulatory Health Care Facilities | |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
1073658258 | RI | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2931 | RI | Ambulatory Health Care Facilities |
| Street Address |
770 AQUIDNECK AVE |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-7246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124180492 | Leonard Carl Taddei Jr. | Dentist | 770 Aquidneck Ave, Middletown, RI 02842-7246 | 2006-12-14 |
| 1235527896 | Dr. Leonard C. Taddei, D.m.d | Dentist | 770 Aquidneck Ave, Middletown, RI 02842-7246 | 2015-01-06 |
| 1013317056 | Alexandra Costa | Dentist | 770 Aquidneck Ave, Middletown, RI 02842-7246 | 2014-08-27 |
| 1114249992 | Rene E Stlaurent | Pharmacist | 770 Aquidneck Ave, Middletown, RI 02842 | 2010-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
| 1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
| 1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
| 1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
| 1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
| 1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
| 1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
| 1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
| Find all providers in zip 02842 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811171879 | Theodore J. Zervas, Dmd, LLC | Clinic/Center | 484 Main St Ste 32, Middletown, CT 06457-2866 | 2007-12-26 |
| 1194730614 | Jeffrey D. Bert, D.d.s., M.d.sc., P.C. | Clinic/Center | 561 Saybrook Rd, Middletown, CT 06457-4718 | 2006-07-31 |
| 1942844998 | Courtney J Lam Dmd Pllc | Clinic/Center | 244 Adelia St, Middletown, PA 17057-2711 | 2019-11-03 |
| 1790349140 | Sanibel Dental Associates LLC | Clinic/Center | 955 S Main St, Middletown, CT 06457-5153 | 2019-04-30 |
| 1164086609 | Middletown Smiles, LLC | Clinic/Center | 717 Newfield St, Middletown, CT 06457-1815 | 2019-04-30 |
| 1073931291 | Paul Duggal P.C. | Clinic/Center | 119 Wickham Ave, Middletown, NY 10940-3714 | 2014-04-03 |
| 1497070148 | Oral Surgery Group of Middletown, Pllc | Clinic/Center | 134 Evergreen Rd, Middletown, KY 40243-1487 | 2010-04-06 |
| 1881916229 | Patricia E. Miller Inc. | Clinic/Center | 20 Ridge St, Middletown, NY 10940-3305 | 2010-02-26 |
| 1508020991 | Aquidneck Avenue Family Dental | Clinic/Center | 747 Aquidneck Ave, Middletown, RI 02842-7265 | 2008-07-15 |
| 1609054584 | Periodontic & Endodontic Services | Clinic/Center | 11708 Main St, Middletown, KY 40243-1426 | 2008-02-04 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
Please comment or provide details below to improve the information on MIDDLETOWN FAMILY DENTAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.