1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Dentist
  6. NPI Profile

31 ELMGROVE DENTAL LLC
NPI 1225787708
Dentist - General Practice in Providence, RI

Active since March 22, 2022
31 ELMGROVE AVE, PROVIDENCE, RI 02906(401) 421-9350(401) 421-6450 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 31 Elmgrove Dental Llc NPPES

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

31 ELMGROVE DENTAL LLC (NPI 1225787708), doing business as Dr Lawrence D Page Dmd Inc, is a healthcare organization registered as a general practice in Providence, Rhode Island and active in the NPI registry since March 2022. The organization lists Jessica A Polak, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225787708
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name31 ELMGROVE DENTAL LLC
Location Address31 ELMGROVE AVEProvidence, RI 02906-4103
Mailing Address31 Elmgrove AveProvidence, RI 02906-4103
Phone(401) 421-9350
Fax(401) 421-6450
Organization SubpartNo
Authorized OfficialJessica A PolakOffice Manager · (401) 421-9350
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 8, 2022
✔ NPI 1225787708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
31 ELMGROVE AVE, Providence, RI 02906
Open in Google Maps ↗

Other Names 1

Former Legal Business NameDr Lawrence D Page Dmd Inc

Other Identifiers 1

MedicaidMP01974RI

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. LAWRENCE D PAGE DMD
Dentist
31 ELMGROVE AVE
PROV, RI 02906
Providence County (401) 421-9350
DR. LAWRENCE D PAGE INC.
Dentist
31 ELMGROVE AVE
PROVIDENCE, RI 02906
Providence County (401) 421-9350
DR. MARC JEFFREY PAGE DMD
Dentist
31 ELMGROVE AVE
PROVIDENCE, RI 02906
Providence County (401) 421-9350

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 31 Elmgrove Dental LLC's NPI number?

The NPI number for 31 Elmgrove Dental LLC is 1225787708. It was assigned to this organization in the NPPES registry on March 22, 2022. The provider was formerly known as dr lawrence d page dmd inc.

Where is 31 Elmgrove Dental LLC located?

31 Elmgrove Dental LLC is located at 31 Elmgrove Ave, Providence, RI 02906. The listed phone number is (401) 421-9350.

What is 31 Elmgrove Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for 31 Elmgrove Dental LLC was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.