Provider Demographics
NPI:1093727257
Name:DEEPAK SALUJA, DMD INC.
Entity Type:Organization
Organization Name:DEEPAK SALUJA, DMD INC.
Other - Org Name:DENTPLUS DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-454-3000
Mailing Address - Street 1:66 KENNEDY PLZ
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-2004
Mailing Address - Country:US
Mailing Address - Phone:401-454-3000
Mailing Address - Fax:401-521-9004
Practice Address - Street 1:66 KENNEDY PLZ
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-2004
Practice Address - Country:US
Practice Address - Phone:401-454-3000
Practice Address - Fax:401-521-9004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI25331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty