PERIODONTICS INCORPORATED
NPI 1841398658
Dentist in Providence, RI

Q: What is Periodontics Incorporated's NPI number?

The NPI number for Periodontics Incorporated is 1841398658. It was assigned to this organization in the NPPES registry on September 20, 2006.

Q: What is Periodontics Incorporated's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 20, 2006

167 GANO STREET, PROVIDENCE, RI 02906(401) 274-2600(401) 421-7875 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Periodontics Incorporated NPPES

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

PERIODONTICS INCORPORATED (NPI 1841398658) is a healthcare organization registered as a dentist in Providence, Rhode Island and active in the NPI registry since September 2006. The organization lists Scott M Fertik, President, as its authorized official.

NPPES Registry Identity

NPI1841398658

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePERIODONTICS INCORPORATED

Location Address167 GANO STREETProvidence, RI 02906

Mailing Address167 Gano StreetProvidence, RI 02906 · (401) 274-2600 · Fax (401) 421-7875

Phone(401) 274-2600

Fax(401) 421-7875

Organization SubpartNo

Authorized OfficialScott M FertikPresident · (401) 274-2600

Enumeration DateSeptember 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1841398658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in RI · DEN02345✔ Licensed in RI · DEN02700✔ Licensed in RI · DEN01328

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

167 GANO STREET, 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 MULTIPLE 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 Periodontics Incorporated's NPI number?

The NPI number for Periodontics Incorporated is 1841398658. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Periodontics Incorporated located?

Periodontics Incorporated is located at 167 Gano Street, Providence, RI 02906. The listed phone number is (401) 274-2600.

What is Periodontics Incorporated's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Periodontics Incorporated was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.