Provider Demographics
NPI:1578456844
Name:NOGUEIRA DENTAL LLC
Entity type:Organization
Organization Name:NOGUEIRA DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LENA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOGUEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:413-454-1244
Mailing Address - Street 1:21 KING CHARLES DR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-1447
Mailing Address - Country:US
Mailing Address - Phone:413-454-1244
Mailing Address - Fax:413-454-1244
Practice Address - Street 1:21 KING CHARLES DR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-1447
Practice Address - Country:US
Practice Address - Phone:413-454-1244
Practice Address - Fax:413-454-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental