BAYSIDE DENTAL INCORPORATED (NPI# 1942323621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942323621 |
| Entity Type | Organization |
| Organization Name | BAYSIDE DENTAL INCORPORATED |
| Practice Address |
15 Gooding Ave Suite 1 Bristol RI 02809-2600 |
| Practice Telephone | 4012533781 |
| Practice Fax Number | 4012539324 |
| Mailing Telephone | 4012533781 |
| Mailing Fax Number | 4012539324 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAUL M KOTUBY JR. (DENTIST) |
| Authorized Official Telephone | 4012533781 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DEN01874 | RI | Dental Providers |
| Street Address |
15 GOODING AVE SUITE 1 |
| City | BRISTOL |
| State | RI |
| Zip Code | 02809-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246068 | Maryann Bishop | Physical Therapist | 7 Creek Lane, Bristol, RI 02809 | 2018-08-23 |
| 1063913127 | Melanie Hopper Koppelman | Acupuncturist | Harbor Integrative Health, LLC, 60 Poppasquash Road, Bristol, RI 02809 | 2018-02-23 |
| 1871011478 | Ashley Hayes Pereira | Occupational Therapist | 31 Duffield Rd, Bristol, RI 02809 | 2017-09-03 |
| 1447792437 | Marguerite Peruto | Counselor | 10 Wardwell Street, Studio #4, Bristol, RI 02809 | 2016-11-08 |
| 1174829873 | Meghan Elizabeth Martorana | Dietitian, Registered | 685 Metacom Avenue, Bristol, RI 02809 | 2011-01-28 |
| 1881909794 | Hoffmann Chiropractic Inc | Chiropractor | 450 Hope Street, Bristol, RI 02809 | 2010-08-16 |
| 1558555961 | Michael James Allen | Dentist | 36 Bradford Street, Bristol, RI 02809 | 2007-08-29 |
| 1033309141 | Melinda Mary Allaire | Physical Therapist | 2 Ruth Ave, Bristol, RI 02809 | 2007-07-26 |
| 1033240726 | Emily Snow Delconte | Dietitian, Registered | 685 Metacom Ave, Bristol, RI 02809 | 2007-03-07 |
| 1881756203 | Warren Dental Associates Inc | Dentist | 634 Main Street, Warren, RI 02809 | 2006-12-14 |
| Find all providers in zip 02809 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629695150 | Vishal Bhambri | Dentist | 130 Mill St, Bristol, PA 19007-4807 | 2020-07-01 |
| 1891356135 | Esther Lee | Dentist | 1401 Volunteer Pkwy Apt 3, Bristol, TN 37620-6009 | 2019-06-26 |
| 1376035741 | Cody D Christian | Dentist | 1705 Edgemont Ave, Bristol, TN 37620-4307 | 2018-06-01 |
| 1396198198 | Optima Dental | Dentist | 222 Commerce Cir, Bristol, PA 19007-3113 | 2016-07-15 |
| 1013328442 | Victoria C. Bettis, Dds,llc | Dentist | 14391 Lee Hwy, Bristol, VA 24202-4319 | 2014-05-20 |
| 1215297023 | Kelly J Perry | Dentist | 100 Robie Rd, Bristol, NH 03222-6063 | 2012-05-25 |
| 1285953653 | Bristol Plaza Family Dental | Dentist | 1192 Farmington Ave, Unit D, Bristol, CT 06010-4752 | 2010-05-25 |
| 1336478882 | Paul M Kotuby Jr. | Dentist | 15 Gooding Avenue, Suite 1, Bristol, RI 02809-2600 | 2009-12-11 |
| 1245471978 | Pa Smile Center P.C. | Dentist | 1212 New Rodgers Rd, Suite A-1, Bristol, PA 19007-2512 | 2009-03-09 |
| 1962661223 | Roger Dale Keller | Dentist | 1039 Highway 126, Bristol, TN 37620-3223 | 2008-06-03 |
| Find all providers in BRISTOL | ||||
Please comment or provide details below to improve the information on BAYSIDE DENTAL INCORPORATED.
| 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.