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PERIODONTAL ASSOCIATES, LTD.
NPI 1801206677
Dentist - Periodontics in Providence, RI

Active since May 02, 2014
189 GOVERNOR ST, PROVIDENCE, RI 02906(401) 421-6464 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Periodontal Associates, Ltd. NPPES

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

PERIODONTAL ASSOCIATES, LTD. (NPI 1801206677) is a healthcare organization registered as a periodontics in Providence, Rhode Island and active in the NPI registry since May 2014. The organization lists Fayez G Badlissi, Owner, as its authorized official.

NPPES Registry Identity

NPI1801206677
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL ASSOCIATES, LTD.
Location Address189 GOVERNOR STProvidence, RI 02906-3124
Mailing Address189 Governor StProvidence, RI 02906-3124 · (401) 421-6464
Phone(401) 421-6464
Organization SubpartNo
Authorized OfficialFayez G BadlissiOwner · (401) 421-6464
Enumeration DateMay 2, 2014
✔ NPI 1801206677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in RI · 3206
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
189 GOVERNOR 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 11

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

DAVID IRA KONICOV DDS
Dentist
189 GOVERNOR ST, SUITE 201
PROVIDENCE, RI 02906
Providence County (401) 421-1457
MS. DONNA M CASSIDY MSW
Social Worker (Clinical)
189 GOVERNOR ST, SUITE 203
PROVIDENCE, RI 02906
Providence County (401) 273-2447
BENEFIT DENTAL CARE, LLC
Dentist (General Practice)
189 GOVERNOR ST
PROVIDENCE, RI 02906
Providence County (401) 421-1457
PERIODONTAL ASSOCIATES, LTD.
Dentist
189 GOVERNOR ST
PROVIDENCE, RI 02906
Providence County (401) 421-6464
CONTINUUM INTEGRATED CARE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
189 GOVERNOR ST
PROVIDENCE, RI 02906
Providence County (401) 659-4216
B ALLEN FLAXMAN MD INC
Dermatology
189 GOVERNOR ST, SUITE 110
PROVIDENCE, RI 02906
Providence County (401) 331-1008
DR. JEFFREY BRAM SHAPIRO DMD
Dentist (Periodontics)
189 GOVERNOR ST
PROVIDENCE, RI 02906
Providence County (401) 421-6464
LISA REIDSEMA LMHC/MHC/LPC
Counselor (Mental Health)
189 GOVERNOR ST, SUITE 202
PROVIDENCE, RI 02906
Providence County (401) 484-0244

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 Periodontal Associates, Ltd.'s NPI number?

The NPI number for Periodontal Associates, Ltd. is 1801206677. It was assigned to this organization in the NPPES registry on May 2, 2014.

Where is Periodontal Associates, Ltd. located?

Periodontal Associates, Ltd. is located at 189 Governor St, Providence, RI 02906. The listed phone number is (401) 421-6464.

What is Periodontal Associates, Ltd.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontal Associates, Ltd. was last updated on May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.