Providence Pediatric Dentistry is a Pediatric Dental Clinic in Providence, Rhode Island. It is located at 111 Point Street, Suite 1, Providence, RI and its contact number is 401-272-3443. The authorized person for Providence Pediatric Dentistry is Dr. Thomas Spencer Mulvey
who is Owner of the clinic and their contact number is 917-566-2652. The primary license number for Providence Pediatric Dentistry is 2821 (Pediatric Dentistry) in Rhode Island. Providence Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Providence Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Providence Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
111 Point Street, Suite 1, Providence, Rhode Island, 02903
Phone:
401-272-3443
Fax:
401-272-3539
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Thomas Spencer Mulvey
Position:
Owner
Contact Number:
917-566-2652
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1942322458
NPI Enumeration Date:
04 Apr, 2007
NPI Last Update On:
30 Jul, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
2821
Rhode Island
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
TM51137
Medicaid
Rhode Island
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Pediatric Dentistry P.o. Box 2608, Providence, Rhode Island
Zip:
02906
Phone Number:
917-566-2652
Fax Number:
401-272-3539
Patients can reach Providence Pediatric Dentistry at 111 Point Street, Suite 1, Providence, Rhode Island or can call to book an appointment on 401-272-3443. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.