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General NPI Number Information
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NPI Number | 1851966204
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Entity Type | Organization
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Legal Business Name | CUMBERLAND DENTAL SPECIALISTS INC.
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 2359 MENDON RD
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City | CUMBERLAND
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State | RI
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Zip | 02864
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Country | US
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Telephone | 401-334-3070
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Fax | 401-334-9031
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Provider Business Mailing Address
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Address Line | 2359 MENDON RD
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City | CUMBERLAND
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State | RI
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Zip | 02864
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Country | US
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Telephone | 401-334-3070
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Fax | 401-334-9031
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | BRANDON DUDLEY RICHARDI
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Credential |
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Telephone | 401-334-3070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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