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

Periodontal Associates, Ltd

Organization Periodontics · NPI 1801206677

Periodontal Associates, Ltd is a Periodontics in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2014.

Licensed in
RI
In the registry since
2014
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

189 Governor St
Providence, RI 02906-3124
Phone: (401) 421-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 3206 (RI)

Record details

NPI number1801206677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fayez Badlissi — Owner · (401) 421-6464
NPI enumeratedMay 2, 2014
Last updated in NPPESMay 2, 2014
Mailing address189 Governor St, Providence, RI 02906-3124

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