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

Periodontics Incorporated

Organization Dentist · NPI 1841398658

Periodontics Incorporated is a Dentist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
Specialties on file
3

Practice location Address checks out

167 Gano St
Providence, RI 02906
Phone: (401) 274-2600
Fax: (401) 421-7875
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN02345 (RI)
Dentist Taxonomy 122300000X · Licence DEN02700 (RI)
Dentist Taxonomy 122300000X · Licence DEN01328 (RI)

Record details

NPI number1841398658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Fertik — President · (401) 274-2600
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address167 Gano Street, Providence, RI 02906

Other providers in Providence