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CHAMPAGNE AND LIGHT, DMDS, LLC
NPI 1548439417
Dentist - General Practice in Providence, RI

Active since February 26, 2008
189 WATERMAN ST, PROVIDENCE, RI 02906(401) 351-0072(401) 351-0055 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Champagne And Light, Dmds, Llc NPPES

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

CHAMPAGNE AND LIGHT, DMDS, LLC (NPI 1548439417) is a healthcare organization registered as a general practice in Providence, Rhode Island and active in the NPI registry since February 2008. The organization lists Gary Douglas Light, Principal, as its authorized official.

NPPES Registry Identity

NPI1548439417
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHAMPAGNE AND LIGHT, DMDS, LLC
Location Address189 WATERMAN STProvidence, RI 02906-4014
Mailing Address189 Waterman StProvidence, RI 02906-4014 · (401) 351-0072 · Fax (401) 351-0055
Phone(401) 351-0072
Fax(401) 351-0055
Organization SubpartNo
Authorized OfficialGary Douglas LightPrincipal · (401) 351-0072
Enumeration DateFebruary 26, 2008
✔ NPI 1548439417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in RI · DEN2216
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.
189 WATERMAN ST, Providence, RI 02906
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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

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.

JASON CONFORTI D.M.D.
Dentist
189 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 351-0072
DR. GARY DOUGLAS LIGHT D.M.D.
Dentist (General Practice)
189 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 351-0072

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 Champagne And Light, Dmds, LLC's NPI number?

The NPI number for Champagne And Light, Dmds, LLC is 1548439417. It was assigned to this organization in the NPPES registry on February 26, 2008.

Where is Champagne And Light, Dmds, LLC located?

Champagne And Light, Dmds, LLC is located at 189 Waterman St, Providence, RI 02906. The listed phone number is (401) 351-0072.

What is Champagne And Light, Dmds, 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 Champagne And Light, Dmds, LLC was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.