SAMUEL R. ZWETCHKENBAUM DDS
NPI 1871679415
Dentist in Providence, RI

Active since October 27, 2006
56 WOODBURY ST, PROVIDENCE, RI 02906(401) 588-1295 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2025, Oct 4, 2019 (2 updates tracked since 2019).

  • Individual
  • Male
  • Dentist
  • Accepts Insurance

About SAMUEL ZWETCHKENBAUM

This page provides the complete NPI Profile along with additional information for Samuel Zwetchkenbaum, a provider established in Providence, Rhode Island with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1871679415 assigned on October 2006. The practitioner's primary taxonomy code is 122300000X with license number DEN02285 (RI). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1871679415 Verify this NPI
Provider Name
SAMUEL R. ZWETCHKENBAUM DDS
Gender
Male
Entity Type
Individual
Location Address
56 WOODBURY ST PROVIDENCE, RI 02906
Location Phone
(401) 588-1295
Mailing Address
375 ALLENS AVE PROVIDENCE, RI 02905
Mailing Phone
(401) 780-2511
Mailing Fax
(401) 780-2565
Is Sole Proprietor?
No
Enumeration Date
10-27-2006
Last Update Date
10-08-2025
Code Navigator

A dentist like Samuel Zwetchkenbaum is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Secondary Locations

  • 335R Prairie Ave
    Providence, RI 02905
    (401) 444-0430

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
DEN02285
License State
RI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

2901016737 (MI)
2122300000XDental Providers

Dentist

22DI01757400 (NJ)
31223P0700XDental Providers

Dentist
Prosthodontics

22DI01757400 (NJ)
41223P0700XDental Providers

Dentist
Prosthodontics

2901016737 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - Basic - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00-D-16-7370-0OTHER (01)MIBCBSM
4124472MEDICAID (05)MI 
4124463MEDICAID (05)MI 

Reviews for SAMUEL R. ZWETCHKENBAUM DDS

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871679415, enumerated as an "individual" on October 27, 2006.

The provider is located at 56 WOODBURY ST PROVIDENCE, RI 02906 and the phone number is (401) 588-1295.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Humana, Blue Cross Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.