Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WOONSOCKET DENTAL ASSOCIATES
Active
Organization
WOONSOCKET DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRIAN FORMAN D.M.D. (PRESIDENT)
(401) 766-8600
Entity
Organization
Contact information
Practice address
2000 DIAMOND HILL RD, WOONSOCKET, RI 02895-1554
(401) 766-8600
(401) 766-8601
Mailing address
2000 DIAMOND HILL RD, WOONSOCKET, RI 02895-1554
(401) 766-8600
(401) 766-8601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN2031
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WD02303
—
RI
Enumeration date
10/02/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up