| Boustani Periodontics Pc | |
|
40 Elmgrove Ave Providence RI 02906-4104 | |
| (401) 421-1717 | |
| (401) 421-0066 |
| Full Name | Boustani Periodontics Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 40 Elmgrove Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Gabriel Boustani (PRESIDENT) |
| Authorized Official Contact | 6176404637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boustani Periodontics Pc 40 Elmgrove Ave Providence RI 02906-4104 Ph: (401) 421-1717 | Boustani Periodontics Pc 40 Elmgrove Ave Providence RI 02906-4104 Ph: (401) 421-1717 |
| NPI Number | 1114745155 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114745155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
Angell Street Dental Associates, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Angell St, Providence, RI 02906 Phone: 401-272-2331 Fax: 401-272-2361 | |
Sunnyside Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 Angell St, Providence, RI 02906 Phone: 401-272-4900 Fax: 401-272-5989 | |
Cityline Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Reservoir Ave, Suite 3d, Providence, RI 02907 Phone: 401-941-3353 Fax: 401-461-6558 | |
Dentplus Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Kennedy Plz, Providence, RI 02903 Phone: 401-454-3000 Fax: 401-521-9004 | |
Zumstein Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Governor St, Providence, RI 02906 Phone: 401-274-1140 | |
Celestial Smile Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Dorrance St Ste 700, Providence, RI 02903 Phone: 781-774-9885 |