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 provides Dentist services 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 Not confirmed with CMS for 14 years — call before visiting
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

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