THE FAMILY DENTIST
NPI 1013164920
Dentist in Pawtucket, RI

Q: What is The Family Dentist's NPI number?

The NPI number for The Family Dentist is 1013164920. It was assigned to this organization in the NPPES registry on August 21, 2008.

Q: What is The Family Dentist's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 21, 2008

480 BROADWAY, PAWTUCKET, RI 02860(401) 728-6654(401) 728-5726 Get Directions Write a Review

NPPES record last updated: August 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About The Family Dentist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE FAMILY DENTIST (NPI 1013164920) is a healthcare organization registered as a dentist in Pawtucket, Rhode Island and active in the NPI registry since August 2008. The organization lists Michael A. Wagner, President, as its authorized official.

NPPES Registry Identity

NPI1013164920

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameTHE FAMILY DENTIST

Location Address480 BROADWAYPawtucket, RI 02860-1340

Mailing Address480 BroadwayPawtucket, RI 02860-1340 · (401) 728-6654 · Fax (401) 728-5726

Phone(401) 728-6654

Fax(401) 728-5726

Organization SubpartNo

Authorized OfficialMichael A. WagnerPresident · (401) 728-6654

Enumeration DateAugust 21, 2008

✔ NPI 1013164920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in RI · 2342

Definition

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.

480 BROADWAY, Pawtucket, RI 02860

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL A WAGNER DDS

Dentist

480 BROADWAY
PAWTUCKET, RI 02860

Providence County (401) 728-6654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Family Dentist's NPI number?

The NPI number for The Family Dentist is 1013164920. It was assigned to this organization in the NPPES registry on August 21, 2008.

Where is The Family Dentist located?

The Family Dentist is located at 480 Broadway, Pawtucket, RI 02860. The listed phone number is (401) 728-6654.

What is The Family Dentist's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for The Family Dentist was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.