OrganizationActive
Northwest Dental
NPI 1588835623 · Dental Clinic/Center · Pascoag, RI
Provider details
- NPI number
- 1588835623
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Northwest Community Health Care
- Organization subpart
- Yes
- Authorized official
- Peter Bancroft, Ceo(401) 568-7661
- License
- ACF01571 (RI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
36 Bridge Way
Pascoag, RI 02859-3312
Phone: (401) 568-7661
Fax: (401) 567-0900
Street-level locationGet directions
Mailing address
36 Bridge Way
Pascoag, RI 02859-3131
Other names (DBA / former)
- Doing business as
- Wellone Primary Medical and Dental Care
Registry dates
- Enumerated
- 2008-03-17
- Last updated
- 2012-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.