Healthcare Provider Details

I. General information

NPI: 1619548955
Provider Name (Legal Business Name): RONIT MAJUMDAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TOLL GATE RD STE 102
WARWICK RI
02886-4440
US

IV. Provider business mailing address

200 TOLL GATE RD STE 102
WARWICK RI
02886-4440
US

V. Phone/Fax

Practice location:
  • Phone: 401-737-9363
  • Fax:
Mailing address:
  • Phone: 401-737-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number30.026479
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.026479
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN03687
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: