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Active NPI 1124231253 Individual Practitioner Male Practitioner

Dr. Daniel Peter Decesare , DDS

Dentist - Periodontics • Johnston, RI

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Decesare, DDS is a registered healthcare professional specializing in Dentist - Periodontics in Johnston, RI. Practice services are available at 1740 ATWOOD AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1740 Atwood Ave.

Johnston, RI 029193269

Telephone 4012339800
Fax 4012339898
Associated Practice Facility / Clinic
🏢 Rhode Island Periodontics Facility NPI 1225908171

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Johnston, RI

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

Practicing in Johnston, RI (28 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 - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License RI DEN01328

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Edward Katz , DDS

Dentist - Periodontics

NPI 1578606786

Doctor of Dental Surgery

Dr. Charles Pham , DMD

Dentist - Periodontics

NPI 1699124982

Doctor of Dental Medicine

Dr. Gregory Theberge , DDS

Dentist - Periodontics

NPI 1851434070

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2009

Registered at 1740 ATWOOD AVE., JOHNSTON, RI 029193269 (Tel: 4012339800)

📍
Updated Business Mailing Address July 08, 2009

Registered at 1740 ATWOOD AVE., JOHNSTON, RI 029193269 (Tel: 4012339800)

👤
Provider Name / Credentials Updated July 08, 2009

Recorded as DANIEL DECESARE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2009

Dentist (License #DEN01328 in RI)

🟢
Initial NPI Registration & Enumeration May 07, 2007

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: 1124231253
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2007
Last Update: July 08, 2009
Sole Proprietor: Yes

Mailing Address

1740 Atwood Ave.

Johnston, RI 029193269

Phone: 4012339800

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.