| Angell Street Dental Associates, Inc | |
|
425 Angell St Providence RI 02906-4403 | |
| (401) 272-2331 | |
| (401) 272-2361 |
| Full Name | Angell Street Dental Associates, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 425 Angell St, Providence, Rhode Island |
| Authorized Official Name and Position | Charles Michael Riotto (PRESIDENT) |
| Authorized Official Contact | 4012722331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angell Street Dental Associates, Inc 425 Angell St Providence RI 02906-4403 Ph: (401) 272-2331 | Angell Street Dental Associates, Inc 425 Angell St Providence RI 02906-4403 Ph: (401) 272-2331 |
| NPI Number | 1013173277 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013173277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | RI2044 (Rhode Island) | Primary |
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