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Active NPI 1467506881 Individual Practitioner Male Practitioner

Dr. Antonio Manuel Goncalves , DMD

Dentist - General Practice • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Antonio Goncalves, DMD is a registered healthcare professional specializing in Dentist - General Practice in Providence, RI. Practice services are available at 16 BRIDGE STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16 Bridge Street
Corliss Landing

Providence, RI 029034362

Telephone 4018615600
Fax 4018615603
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Providence, RI

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

Practicing in Providence, 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 02274

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MA 16427

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

3 Associated Practitioners
Dr. Alan Pan , DMD

Dentist - General Practice

NPI 1053465443

Doctor of Dental Medicine

Dr. Donald Kallio , DMD

Dentist - Periodontics

NPI 1205980604

Doctor of Dental Medicine

Dr. Maria Pinilla , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1801933270

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 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 16 BRIDGE STREET, CORLISS LANDING, PROVIDENCE, RI 029034362 (Tel: 4018615600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1345 ROCKDALE AVE, NEW BEDFORD, MA 027401932 (Tel: 5089978544)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANTONIO GONCALVES, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #02274 in RI)

🟢
Initial NPI Registration & Enumeration January 23, 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: 1467506881
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1345 Rockdale Ave

New Bedford, MA 027401932

Phone: 5089978544

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.