Provider Demographics
NPI:1518090463
Name:ADRIANO, MAYUMI R (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAYUMI
Middle Name:R
Last Name:ADRIANO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1346 NEWPORT AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-1853
Mailing Address - Country:US
Mailing Address - Phone:401-723-8043
Mailing Address - Fax:401-723-1047
Practice Address - Street 1:1346 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-1853
Practice Address - Country:US
Practice Address - Phone:401-723-8043
Practice Address - Fax:401-723-1047
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN02759122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist