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CHILDRENS DENTISTRY OF WESTERLY LLC
NPI 1497980924
Dentist - Pediatric Dentistry in Westerly, RI

Active since May 28, 2009
130 GRANITE ST # C, WESTERLY, RI 02891(401) 596-8720(401) 596-5403 Get Directions Write a Review

NPPES record last updated: May 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Childrens Dentistry Of Westerly Llc NPPES

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

CHILDRENS DENTISTRY OF WESTERLY LLC (NPI 1497980924) is a healthcare organization registered as a pediatric dentistry in Westerly, Rhode Island and active in the NPI registry since May 2009. The organization lists Brian Paul Shannon, Owner, as its authorized official.

NPPES Registry Identity

NPI1497980924
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDRENS DENTISTRY OF WESTERLY LLC
Location Address130 GRANITE ST # CWesterly, RI 02891-2461
Mailing Address130 Granite St # CWesterly, RI 02891-2461 · (401) 596-8720 · Fax (401) 596-5403
Phone(401) 596-8720
Fax(401) 596-5403
Organization SubpartNo
Authorized OfficialBrian Paul ShannonOwner · (401) 596-8720
Enumeration DateMay 28, 2009
✔ NPI 1497980924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in RI · 2263
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
130 GRANITE ST # C, Westerly, RI 02891
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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 SINGLE SPECIALTY GROUP

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 Childrens Dentistry Of Westerly LLC's NPI number?

The NPI number for Childrens Dentistry Of Westerly LLC is 1497980924. It was assigned to this organization in the NPPES registry on May 28, 2009.

Where is Childrens Dentistry Of Westerly LLC located?

Childrens Dentistry Of Westerly LLC is located at 130 Granite St # C, Westerly, RI 02891. The listed phone number is (401) 596-8720.

What is Childrens Dentistry Of Westerly LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Childrens Dentistry Of Westerly LLC was last updated on May 28, 2009. 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.