Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Dental

Organization Dentist · NPI 1588835623

Northwest Dental is a Dentist in Pascoag, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2008.

Licensed in
RI
In the registry since
2008
Specialties on file
2

Practice location Address checks out

36 Bridge Way
Pascoag, RI 02859-3312
Phone: (401) 568-7661
Fax: (401) 567-0900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence ACF01571 (RI)
Dentist Taxonomy 122300000X · Licence ACF01571 (RI)

Record details

NPI number1588835623
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorthwest Community Health Care
Authorized official Peter Bancroft — Ceo · (401) 568-7661
Other names Wellone Primary Medical And Dental Care
NPI enumeratedMarch 17, 2008
Last updated in NPPESJune 1, 2012
Mailing address36 Bridge Way, Po Box 312, Pascoag, RI 02859-3131

Other providers in Pascoag