Healthcare Provider Details

I. General information

NPI: 1982400446
Provider Name (Legal Business Name): ANTHONY ROBERT RANERI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 THURBER BLVD UNIT A
SMITHFIELD RI
02917-1826
US

IV. Provider business mailing address

635 ALBANY ST
BOSTON MA
02118-3550
US

V. Phone/Fax

Practice location:
  • Phone: 401-231-7390
  • Fax:
Mailing address:
  • Phone: 617-358-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN03891
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: