CGHE DENTAL LLC (NPI# 1750680435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750680435 |
| Entity Type | Organization |
| Organization Name | CGHE DENTAL LLC |
| Other Organization Name | ATWILL CONROY DENTAL ASSOCIATES |
| Practice Address |
1196 Smith St Providence RI 02908-2036 |
| Practice Telephone | 4013513090 |
| Practice Fax Number | 4013311315 |
| Mailing Telephone | 4013513090 |
| Mailing Fax Number | 4013311315 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | DR. KRISTOFER HAGGARTY (MEMBER) |
| Authorized Official Telephone | 4013513090 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
2350 | RI | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
2837 | RI | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
2663 | RI | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2744 | RI | Dental Providers |
| Other Name | Type Code |
|---|---|
| ATWILL CONROY DENTAL ASSOCIATES | Doing Business As Name - Organization |
| Street Address |
1196 SMITH ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124122288 | Anthony Philip Alessandro | Dentist | 1196 Smith St, Providence, RI 02908-2036 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598222689 | American Center for Bioregulatory Medicine and Dentistry | Dentist | 111 Chestnut St Ste 1, Providence, RI 02903-4169 | 2019-02-25 |
| 1831541341 | Spring Creek Dental Associates, LLC | Dentist | 274 N Spring Creek Pkwy, Providence, UT 84332-9775 | 2016-07-08 |
| 1104234350 | Zumstein Family Dentistry, LLC | Dentist | 159 Governor St, Providence, RI 02906-3062 | 2014-07-31 |
| 1770804007 | Avani S Khera | Dentist | 21 Peace St Fl 2, St. Joseph's Hospital of Specialty Care, Providence, RI 02907-1510 | 2010-06-22 |
| 1124282751 | Gaganpreet Singh Gill | Dentist | 314f Pocasset Ave, Providence, RI 02909-4828 | 2008-07-13 |
| 1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
| 1255476594 | Jon Gregory Dunn | Dentist | 110 Barrett St, Providence, KY 42450 | 2007-02-21 |
| 1457496465 | Martin S. Hanoian | Dentist | 595 Hope St, Providence, RI 02906-2655 | 2007-02-20 |
| 1578609855 | Carl M Cotoia | Dentist | 183 Waterman St, Providence, RI 02906-4014 | 2007-01-30 |
| 1225184559 | Lee A Whitney | Dentist | 261 Academy Ave, Providence, RI 02908-4144 | 2007-01-27 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on CGHE 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.