Healthcare Provider Details

I. General information

NPI: 1851966204
Provider Name (Legal Business Name): CUMBERLAND DENTAL SPECIALISTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2359 MENDON RD
CUMBERLAND RI
02864
US

IV. Provider business mailing address

2359 MENDON RD
CUMBERLAND RI
02864
US

V. Phone/Fax

Practice location:
  • Phone: 401-334-3070
  • Fax: 401-334-9031
Mailing address:
  • Phone: 401-334-3070
  • Fax: 401-334-9031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: BRANDON DUDLEY RICHARDI
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 401-334-3070