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Active NPI 1871679415 Individual Practitioner Male Practitioner

Dr. Samuel R. Zwetchkenbaum , DDS

Dentist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Zwetchkenbaum, DDS is a registered healthcare professional specializing in Dentist in Providence, RI. Practice services are available at 56 WOODBURY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

56 Woodbury St

Providence, RI 029063510

Telephone 4015881295
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
66 Specialists

Practicing in Providence, RI (280 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

CMS Verified: 2025-10-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License RI DEN02285

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Prosthodontics

NUCC Taxonomy Code: 1223P0700X

State License NJ 22DI01757400

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Dentist

NUCC Taxonomy Code: 122300000X

State License MI 2901016737

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License NJ 22DI01757400

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Prosthodontics

NUCC Taxonomy Code: 1223P0700X

State License MI 2901016737

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4124472 (MI)
Medicaid State Provider ID
4124463 (MI)
Commercial Insurance / Payer ID Bcbsm
00-D-16-7370-0 (MI)

Secondary Practice Locations

335r Prairie Ave

Providence, RI 029052426

Phone: 4014440430

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2025

Dentist (License #22DI01757400 in NJ)

📍
Updated Business Mailing Address September 26, 2023

Registered at 375 ALLENS AVE, PROVIDENCE, RI 029055010 (Tel: 4017802511)

👤
Provider Name / Credentials Updated September 26, 2023

Recorded as SAMUEL ZWETCHKENBAUM, DDS

📍
Updated Practice Location October 04, 2019

Registered at 56 WOODBURY ST, PROVIDENCE, RI 029063510 (Tel: 4015881295)

📍
Updated Business Mailing Address October 04, 2019

Registered at 56 WOODBURY ST, PROVIDENCE, RI 029063510 (Tel: 4015881295)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2019

Dentist (License #2901016737 in MI)

NPI Profile Active May 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2016

Registered at 312 LAWRENCE AVE, HIGHLAND PARK, NJ 089041840 (Tel: 7347176046)

📍
Updated Business Mailing Address May 03, 2016

Registered at 312 LAWRENCE AVE, HIGHLAND PARK, NJ 089041840 (Tel: 7347176046)

👤
Provider Name / Credentials Updated May 03, 2016

Recorded as SAMUEL ZWETCHKENBAUM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2016

Dentist (License #22DI01757400 in NJ)

🟢
Initial NPI Registration & Enumeration October 27, 2006

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: 1871679415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: October 08, 2025
Sole Proprietor: No

Mailing Address

375 Allens Ave

Providence, RI 029055010

Phone: 4017802511

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.