DR. FARISA SURATTANONT MULVEY (NPI# 1275583874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275583874 |
| Entity Type | Individual |
| Full Name | DR. FARISA SURATTANONT MULVEY |
| Credential | D.D.S. |
| Practice Address |
148 Waterman St Providence RI 02906-2130 |
| Mailing Address |
148 Waterman St P.o. Box 2608 Providence RI 02906-2130 |
| Practice Telephone | 4012723443 |
| Practice Fax Number | 4012723539 |
| Mailing Telephone | 4012723443 |
| Mailing Fax Number | 4012723539 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2834 | RI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | FS53913 | 05 |
| Street Address |
148 WATERMAN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952890741 | Edward Goll | Massage Therapist | 148 Waterman St, Providence, RI 02906-2130 | 2018-05-07 |
| 1902101975 | Jennifer Lynn Balfour | Acupuncturist | 148 Waterman St, Providence, RI 02906-2130 | 2011-01-21 |
| 1124349709 | Traditional Eastern Medicine, Inc | Acupuncturist | 148 Waterman St, Providence, RI 02906-2130 | 2010-06-17 |
| 1811166168 | Sanford Lee | Acupuncturist | 148 Waterman St, Providence, RI 02906-2130 | 2008-02-20 |
| 1134171739 | Thomas Spencer Mulvey | Dentist | 148 Waterman St, Providence, RI 02906-2130 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992119390 | Abc Pediatric Dentistry, PC | Dentist | 65 N Gateway Dr Ste 1, Providence, UT 84332-6102 | 2014-06-13 |
| 1457794315 | Kurt Gordon Vest | Dentist | 169 N Gateway Dr Ste 105, Providence, UT 84332-9861 | 2013-04-10 |
| 1912963935 | Stanton Cannon Allen | Dentist | 65 N. Gateway Drive, Ste #1, Providence, UT 84332-6102 | 2006-04-26 |
| 1487216685 | Wasatch Pediatric Dentistry, PC | Dentist | 169 N Gateway Dr Ste 105, Providence, UT 84332-9861 | 2019-07-08 |
| 1902285190 | Brandon Nakken | Dentist | 65 N Gateway Dr Ste 1, Providence, UT 84332-6102 | 2015-05-21 |
| 1194165167 | Amir Yavari | Dentist | 21 Peace St, Providence, RI 02907 | 2013-07-05 |
| 1942565486 | Jeffrey W Higbee | Dentist | 21 Peace St, Providence, RI 02907-1510 | 2012-07-11 |
| 1871858233 | Derek Nobrega | Dentist | 21 Peace St, Providence, RI 02907-1510 | 2012-07-11 |
| 1427215656 | Douglas D Warner | Dentist | 21 Peace St, Providence, RI 02907-1510 | 2008-05-16 |
| 1942322458 | Thomas S. Mulvey Dds LLC | Dentist | 111 Point Street, Suite 1, Providence, RI 02903 | 2007-04-04 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on DR. FARISA SURATTANONT MULVEY.
| 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.