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Active NPI 1053447193 Individual Practitioner Male Practitioner

Dr. Peter Armand Bourdeau , DDS

Dentist - General Practice • Warwick, RI

Professional Overview & Biography Verified Profile Summary

Dr. Peter Bourdeau, DDS is a registered healthcare professional specializing in Dentist - General Practice in Warwick, RI. Practice services are available at 469 CENTERVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

469 Centerville Rd
Suite # 107

Warwick, RI 028864354

Telephone 4017392345
Fax 4017392578
Associated Practice Facility / Clinic
🏢 Radiology Associates Inc Facility NPI 1245233824

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Warwick, RI

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

Practicing in Warwick, 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 DEN01704

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Dental Ins.
8970-6 (RI)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. John Coletti , DDS

Dentist - General Practice

NPI 1275627994

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, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 469 CENTERVILLE RD, SUITE # 107, WARWICK, RI 028864354 (Tel: 4017392345)

📍
Updated Business Mailing Address July 08, 2007

Registered at 469 CENTERVILLE RD, SUITE # 107, WARWICK, RI 028864354 (Tel: 4017392345)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER BOURDEAU, DDS

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

Dentist (License #DEN01704 in RI)

🟢
Initial NPI Registration & Enumeration February 25, 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: 1053447193
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

469 Centerville Rd, Suite # 107

Warwick, RI 028864354

Phone: 4017392345

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.