| Benefit Dental Care, Llc | |
|
159 Governor St Providence RI 02906-3062 | |
| (401) 274-1140 | |
| Not Available |
| Full Name | Benefit Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 159 Governor St, Providence, Rhode Island |
| Authorized Official Name and Position | Mardy Costa (ADMINISTRATOR) |
| Authorized Official Contact | 5087285019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benefit Dental Care, Llc 159 Governor St Providence RI 02906-3062 Ph: (401) 274-1140 | Benefit Dental Care, Llc 159 Governor St Providence RI 02906-3062 Ph: (401) 274-1140 |
| NPI Number | 1346804564 |
|---|---|
| Provider Enumeration Date | 04/23/2019 |
| Last Update Date | 04/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346804564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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