Healthcare Provider Details

I. General information

NPI: 1558083451
Provider Name (Legal Business Name): JESSICA LANGELLA, DMD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2022
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 TOLL GATE RD
WARWICK RI
02886-4443
US

IV. Provider business mailing address

77 TOLL GATE RD
WARWICK RI
02886-4443
US

V. Phone/Fax

Practice location:
  • Phone: 401-648-4989
  • Fax: 401-574-2051
Mailing address:
  • Phone: 401-648-4989
  • Fax: 401-574-2051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA LANGELLA
Title or Position: OWNER DENTIST
Credential: DMD
Phone: 401-524-8421