Farisa Surattanont Mulvey, D.D.S.

Pediatric Dentistry · Providence, RI

Individual Active NPI

NPI number 1275583874

Practice location

148 Waterman St
Providence, RI 02906-2130
Phone
(401) 272-3443
Fax
(401) 272-3539

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NPI record

NPI
1275583874
Entity type
Individual (Type 1)
Enumeration date
May 12, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 2834 RI

Mailing address

148 Waterman St
P.O. Box 2608
Providence, RI 02906-2130
Phone
(401) 272-3443
Fax
(401) 272-3539

About Dr. Mulvey

Farisa Surattanont Mulvey, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 148 Waterman St, Providence, RI 02906-2130. The NPI number 1275583874 was assigned on May 12, 2006 and the record was last updated on July 13, 2026.

Dr. Mulvey lists a license in the registry: #2834 (RI) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Farisa Surattanont Mulvey, D.D.S.?

The NPI number is 1275583874.

What is the phone number of Dr. Mulvey?

The phone number listed for the practice location is (401) 272-3443.

Where is Dr. Mulvey located?

148 Waterman St, Providence, RI 02906-2130.

What is the taxonomy code for Dr. Mulvey?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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