JEFFERSON DENTAL ASSOCIATES II, LLC – NPI #1134689128
Clinic/Center

JEFFERSON DENTAL ASSOCIATES II, LLC is an AHC clinic located in WARWICK, RI. NPPES has assigned the NPI number 1134689128 to JEFFERSON DENTAL ASSOCIATES II, LLC on March 25, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was last updated on Jan 13, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFERSON DENTAL ASSOCIATES II, LLC below.

NPI Profile for
JEFFERSON DENTAL ASSOCIATES II, LLC

NPI Number
1134689128
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEFFERSON DENTAL ASSOCIATES II, LLC
Primary location
222 JEFFERSON BLVD STE 100
WARWICK, RI 02888-3855
Phone: (401) 739-2350 Fax:
Mailing address
29 UPDIKE AVE
N KINGSTOWN, RI 02852-5728
Phone: (401) 414-5380 Fax: (401) 414-5380
Organization Subpart
No
Authorized Official
MICHAEL CAPABLO
DENTIST
Phone: (401) 741-7395
Updated
Certification Date
Jan 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.