Gary Douglas Light, D.M.D.

General Practice Dentistry · Providence, RI

Individual Active NPI

NPI number 1578637278

Practice location

189 Waterman St
Providence, RI 02906-4014
Phone
(401) 351-0072
Fax
(401) 351-0055

Open in Google Maps

NPI record

NPI
1578637278
Entity type
Individual (Type 1)
Enumeration date
November 17, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DEN2216 RI

About Dr. Light

Gary Douglas Light, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 189 Waterman St, Providence, RI 02906-4014. The NPI number 1578637278 was assigned on November 17, 2006 and the record was last updated on July 8, 2007.

Dr. Light lists a license in the registry: #DEN2216 (RI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Douglas Light, D.M.D.?

The NPI number is 1578637278.

What is the phone number of Dr. Light?

The phone number listed for the practice location is (401) 351-0072.

Where is Dr. Light located?

189 Waterman St, Providence, RI 02906-4014.

What is the taxonomy code for Dr. Light?

The primary taxonomy code is 1223G0001X – General Practice 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.

Other General Practice Dentistry providers in Providence

All General Practice Dentistry providers in Providence, RI →