HODOSH DENTAL ASSOCIATES, INC. (NPI# 1679634109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679634109 |
| Entity Type | Organization |
| Organization Name | HODOSH DENTAL ASSOCIATES, INC. |
| Practice Address |
243 Elmwood Ave Providence RI 02907-1547 |
| Practice Telephone | 4014674600 |
| Practice Fax Number | 4017819854 |
| Mailing Telephone | 4014674600 |
| Mailing Fax Number | 4017819854 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2009-05-26 |
| Authorized Official Name | DR. ALEX HODOSH (DR. -MANAGER) |
| Authorized Official Telephone | 4014674600 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
1854 | RI | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
2280 | RI | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
1854 | RI | Dental Providers |
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
2280 | RI | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
2280 | RI | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2280 | RI | Dental Providers |
| N | 122400000X | Denturist | 2280 | RI | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
2280 | RI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MASHENTUCKET-PEQUOT | DEN999 | 01 |
| RI | UNITED CONCORDIA | 780979 | 01 |
| RI | BLUE CROSS BLUE SHIELD RI | 8982-7 | 01 |
| MA | BLUE CROSS BLUE SHEILD MA | RG0053 | 01 |
| Street Address |
243 ELMWOOD AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02907-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225195209 | Alex J. Hodosh | Dentist | 243 Elmwood Ave, Providence, RI 02907-1547 | 2007-01-02 |
| 1174688204 | Steven H. Hodosh | Dentist | 243 Elmwood Ave, Providence, RI 02907-1547 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522861 | Catherine M Katzberg | Massage Therapist | Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 | 2019-05-02 |
| 1104317007 | Victa LLC | Internal Medicine | 110 Elmwood Ave # A, Providence, RI 02907 | 2018-05-25 |
| 1639566987 | Southside Elementary Charter School | Local Education Agency (LEA) | 126 Somerset Street, Providence, RI 02907 | 2015-04-23 |
| 1063846558 | Achievement First Providence Mayoral Academy Charter School | Local Education Agency (LEA) | 370 Hartford Aveneue, Providence, RI 02907 | 2013-09-03 |
| 1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
| 1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
| 1548336944 | Angelica Redleaf | Chiropractor | 1196 Elmwood Avenue, Providence, RI 02907 | 2006-11-28 |
| 1174619878 | Emilio Rodriguez-peris | Internal Medicine | 655 Broad Street, Suite 201, Providence, RI 02907 | 2006-10-04 |
| 1841381555 | Maged Taman | Internal Medicine | 21 Peace Street, Providence, RI 02907 | 2006-09-27 |
| 1003924226 | Gladys V Rezendes | Psychologist | 118 Comstock Avenue, Providence, RI 02907 | 2006-08-28 |
| Find all providers in zip 02907 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457874059 | White Pine Endodontics PC | Dentist | 169 N Gateway Dr Ste 200, Providence, UT 84332-9516 | 2017-07-25 |
| 1720101959 | Gary Mark Lazaroff | Dentist | 257 Wayland Avenue, Providence, RI 02906 | 2007-04-10 |
| 1518906965 | East Side Endodontics | Dentist | 130 Waterman St, Providence, RI 02906-2010 | 2006-06-04 |
| 1316086218 | Janet S Tanzi | Dentist | 130 Waterman St, Providence, RI 02906 | 2007-02-06 |
| 1245378744 | Douglas B Kraut | Dentist | 130 Waterman St, Providence, RI 02906 | 2007-02-05 |
| 1730227224 | Edwin Stephen Mehlman | Dentist | 130 Waterman St, Providence, RI 02906 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932244076 | Mellion & Cappuccino, Inc. | Dentist | 265 Jefferson Blvd, Warwick, RI 02888-3823 | 2007-02-20 |
| 1275694218 | Ocean State Endodontics | Dentist | 1145 Reservoir Avenue, Suite 225, Cranston, RI 02920-6000 | 2006-12-13 |
| 1700864931 | Diane L Doyle | Dentist | 1173 Whipple St, Newport, RI 02841-1632 | 2006-01-06 |
| 1194215160 | Social Street Dental | Dentist | 515 Social St, Woonsocket, RI 02895-2043 | 2018-05-15 |
| 1750711420 | Advanced Care Endodontics Inc | Dentist | 31 King Charles Dr, Portsmouth, RI 02871-1448 | 2013-11-18 |
| 1811210024 | Advanced Care Endodontics Inc | Dentist | 31 King Charles Dr, Portsmouth, RI 02871-1365 | 2010-03-03 |
| 1457685349 | Dental Associates of Cumberland, LLC | Dentist | 490 High St, Cumberland, RI 02864-7644 | 2009-09-24 |
| 1174790539 | Steven F. Pinto | Dentist | 31 King Charles Dr, Portsmouth, RI 02871-1365 | 2008-05-14 |
| 1780858639 | Jefferson Dental Associates, L.t.d. | Dentist | 222 Jefferson Blvd, Warwick, RI 02888-3855 | 2008-04-22 |
| 1477726800 | Rodney Peter Thomas | Dentist | 878 Newport Ave, C/o Dr. Ganim, Pawtucket, RI 02861-2642 | 2008-04-07 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02907 |
Please comment or provide details below to improve the information on HODOSH DENTAL ASSOCIATES, INC..
| 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.