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

Prospect Chartercare Sjhsri, LLC

Organization Dentist · NPI 1639584717

Prospect Chartercare Sjhsri, LLC is a Dentist in Providence, Rhode Island. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21 Peace St
Providence, RI 02907-1510
Phone: (401) 456-4321
Fax: (401) 456-4369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1639584717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Elders — Secretary · (714) 788-1249
Other names St. Joseph Dental Associates; St. Joseph Dental Associates
NPI enumeratedJune 26, 2014
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021
Mailing address200 High Service Ave, North Providence, RI 02904-5113

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