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CRANSTON PEDIATRIC DENTISTRY PC
NPI 1053803825
Clinic/Center - Dental in Cranston, RI

Active since June 06, 2018
67 PHENIX AVE, CRANSTON, RI 02920(617) 818-0573 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cranston Pediatric Dentistry Pc NPPES

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

CRANSTON PEDIATRIC DENTISTRY PC (NPI 1053803825) is a healthcare organization registered as a dental in Cranston, Rhode Island and active in the NPI registry since June 2018. The organization lists Athanasios Zavras, President, as its authorized official.

NPPES Registry Identity

NPI1053803825
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCRANSTON PEDIATRIC DENTISTRY PC
Location Address67 PHENIX AVECranston, RI 02920-4233
Mailing Address64 Pine StDover, MA 02030-2426 · (617) 818-0573
Phone(617) 818-0573
Organization SubpartNo
Authorized OfficialAthanasios ZavrasPresident · (617) 818-0573
Enumeration DateJune 6, 2018
✔ NPI 1053803825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in RI · DEN03342
67 PHENIX AVE, Cranston, RI 02920
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Other Providers at the Same Location NPPES 2

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

NEW PATTERN SPEECH THERAPY, LLC
Clinic/Center (Hearing and Speech)
67 PHENIX AVE
CRANSTON, RI 02920
Providence County (401) 225-7717
MRS. TINA FOTINI MARSES MS, CCC-SLP
Speech-Language Pathologist
67 PHENIX AVE
CRANSTON, RI 02920
Providence County (401) 225-7717

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 Cranston Pediatric Dentistry PC's NPI number?

The NPI number for Cranston Pediatric Dentistry PC is 1053803825. It was assigned to this organization in the NPPES registry on June 6, 2018.

Where is Cranston Pediatric Dentistry PC located?

Cranston Pediatric Dentistry PC is located at 67 Phenix Ave, Cranston, RI 02920. The listed phone number is (617) 818-0573.

What is Cranston Pediatric Dentistry PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Cranston Pediatric Dentistry PC was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.