REYNALDO P BADUYA SR.,DMD


Address: 252 Adelaide Avenue, Providence, RI 02907
Phone: 4019412600

REYNALDO P BADUYA SR.,DMD (NPI# 1912297425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912297425
Entity Type Organization
Organization Name REYNALDO P BADUYA SR.,DMD
Practice Address 252 Adelaide Avenue
Providence
RI 02907
Practice Telephone 4019412600
Practice Fax Number 4019412600
Mailing Telephone 4019412600
Mailing Fax Number 4019412695
Enumeration Date 2011-04-18
Last Update Date 2011-04-18
Authorized Official Name MRS. YVETTE RAMIREZ (OFFICE MANAGER)
Authorized Official Telephone 4019412600
Authorized Official Credential OM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
2491 RI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
RI RB33847 05

Office Location

Street Address 252 ADELAIDE AVENUE
City PROVIDENCE
State RI
Zip Code 02907

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1770133985 Capitol Hill Ffs LLC Clinic/Center 276 Smith St, Providence, RI 02908-4955 2019-09-19
1720647274 Millennium Family Dental Clinic/Center 314f Pocasset Ave, Providence, RI 02909-4828 2019-06-09
1376051680 Ricci Family Dentistry Clinic/Center 1252 Smith St, Providence, RI 02908-1820 2018-01-21
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1689988602 Robert L. Seinsky Dmd Clinic/Center 5 Benefit St, Providence, RI 02904-2762 2010-08-02
1013173277 Angell Street Dental Associates, Inc Clinic/Center 425 Angell St, Providence, RI 02906-4403 2008-08-06
1356426613 Rhode Island Hospital Clinic/Center 593 Eddy St, Providence, RI 02903-4923 2006-10-26

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1720621733 Newport Dental Associates P.C. Clinic/Center 11 Catherine St Unit D, Newport, RI 02840-3497 2019-10-22
1245894690 North Providence Dental Associates II LLC Clinic/Center 1635 Mineral Spring Ave Ste 201, North Providence, RI 02904-4025 2019-04-30
1053803825 Cranston Pediatric Dentistry PC Clinic/Center 67 Phenix Ave, Cranston, RI 02920-4233 2018-06-06
1871677583 Mark S. Bichajian, Dmd, Inc. Clinic/Center 708 Warwick Ave, Warwick, RI 02888-2670 2006-10-25
1295382398 Plum Dental Ri, LLC Clinic/Center 880 Main St, East Greenwich, RI 02818-3113 2019-08-22
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1659845451 Comprehensive Community Action, Inc Clinic/Center 30 Howard Ave, Cranston, RI 02920-3031 2019-01-15
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Competitor

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City PROVIDENCE
Zip Code 02907

Improve Information

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Dataset Information

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.

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