OrganizationActive
31 Elmgrove Dental LLC
NPI 1225787708 · General Practice Dentistry · Providence, RI
Provider details
- NPI number
- 1225787708
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Jessica Polak, Office Manager
Practice location
31 Elmgrove Ave
Providence, RI 02906-4103
Phone: (401) 421-9350
Fax: (401) 421-6450
Mailing address
31 Elmgrove Ave
Providence, RI 02906-4103
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2022-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.