Provider Demographics
NPI:1457685349
Name:DENTAL ASSOCIATES OF CUMBERLAND, LLC
Entity Type:Organization
Organization Name:DENTAL ASSOCIATES OF CUMBERLAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELES
Authorized Official - Middle Name:V
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:401-723-0350
Mailing Address - Street 1:PO BOX 7125
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-0893
Mailing Address - Country:US
Mailing Address - Phone:401-723-0350
Mailing Address - Fax:
Practice Address - Street 1:490 HIGH ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-7644
Practice Address - Country:US
Practice Address - Phone:401-723-0350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty