Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Reynaldo Puertollano Baduya Sr., DMD

Individual provider General Practice Dentistry · NPI 1356409247

Dr. Reynaldo Puertollano Baduya Sr., DMD is a General Practice Dentistry in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

252 Adelaide Ave
Providence, RI 02907-1833
Phone: (401) 941-2600
Fax: (401) 941-2695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DEN02491 (RI)

Record details

NPI number1356409247
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedDecember 5, 2006
Last updated in NPPESJuly 8, 2007

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