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Johnston Dental Group, LLC

Clinic/Center, Dental in Johnston, RI. Organization (NPI-2).

NPI number1982148243
StatusActive
Last updated in NPPESApr 22, 2026

Details

NPI
1982148243
Entity type
Organization (NPI-2)
Legal business name
Johnston Dental Group, LLC
Organization subpart
No
Enumeration date
Dec 6, 2016
Certification date
Apr 22, 2026
Last updated
Apr 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

1526 Atwood Ave Ste 102
Johnston, RI 02919-3289

Phone 401-273-4411

Mailing address

29 Updike Ave
N Kingstown, RI 02852-5728

Phone 401-414-5380

Authorized official

Michael Capablo
Owner/ Chief Dentist
4017417395

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