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Active NPI 1265661417 Individual Practitioner Male Practitioner

Dr. Maulik Kotdawala , DMD

Dentist - General Practice • Johnston, RI

Professional Overview & Biography Verified Profile Summary

Dr. Maulik Kotdawala, DMD is a registered healthcare professional specializing in Dentist - General Practice in Johnston, RI. Practice services are available at 1384 ATWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1384 Atwood Ave

Johnston, RI 02919

Telephone 4019430400
Associated Practice Facility / Clinic
🏢 Sunny Smile Group Iii Llc Facility NPI 1053778829

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Johnston, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Johnston, RI (373 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License RI DEN03046

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1144604935
Dr. Akia Blackmon , DMD

Dentist - General Practice

NPI 1184297574

Doctor of Dental Medicine

NPI 1508426123

Doctor of Dental Medicine

NPI 1881422780

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2009

Registered at 1384 ATWOOD AVE, JOHNSTON, RI 02919 (Tel: 4019430400)

📍
Updated Business Mailing Address July 09, 2009

Registered at PO BOX 3189, SYRACUSE, NY 132203189 (Tel: 8662738204)

👤
Provider Name / Credentials Updated July 09, 2009

Recorded as MAULIK KOTDAWALA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2009

Dentist (License #DEN03046 in RI)

🟢
Initial NPI Registration & Enumeration July 09, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265661417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2009
Last Update: July 09, 2009
Sole Proprietor: Yes

Mailing Address

Po Box 3189

Syracuse, NY 132203189

Phone: 8662738204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.