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31 Elmgrove Dental LLC

General Practice Dentistry in Providence, RI · enumerated 2022 · authorized official Jessica Polak, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225787708

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Registry record

Entity type Organization (Type 2)
Legal business name 31 Elmgrove Dental LLC
Practice address 31 Elmgrove Ave, Providence, RI, 02906
Phone (401) 421-9350
Fax (401) 421-6450
Enumeration date Mar 22, 2022
Last updated in NPPES Mar 22, 2022

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Jessica Polak
Title Office Manager
Phone (401) 421-9350

Other identifiers

Identifier Type State Issuer
MP01974 Medicaid RI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for 31 Elmgrove Dental LLC?
The NPI for 31 Elmgrove Dental LLC is 1225787708, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 31 Elmgrove Dental LLC?
NPPES lists Jessica Polak (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-22.