Aquidneck Dental, Inc. | |
21 King Charles Drive Portsmouth RI 02871 | |
(401) 683-5990 | |
(401) 683-6548 |
Full Name | Aquidneck Dental, Inc. |
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Speciality | Dentist |
Location | 21 King Charles Drive, Portsmouth, Rhode Island |
Authorized Official Name and Position | Augustus Nogueira (PRESIDENT AQUIDNECK DENTAL ASSOC) |
Authorized Official Contact | 4016835990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aquidneck Dental, Inc. 21 King Charles Drive Portsmouth RI 02871 Ph: (401) 683-5990 | Aquidneck Dental, Inc. 21 King Charles Drive Portsmouth RI 02871 Ph: (401) 683-5990 |
NPI Number | 1437292760 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 09/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437292760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DEN02134 (Rhode Island) | Primary |
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