| Childrens Dentistry Of Westerly Llc | |
|
130 Granite St # C Westerly RI 02891-2461 | |
| (401) 596-8720 | |
| (401) 596-5403 |
| Full Name | Childrens Dentistry Of Westerly Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 130 Granite St # C, Westerly, Rhode Island |
| Authorized Official Name and Position | Brian Paul Shannon (OWNER) |
| Authorized Official Contact | 4015968720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dentistry Of Westerly Llc 130 Granite St # C Westerly RI 02891-2461 Ph: (401) 596-8720 | Childrens Dentistry Of Westerly Llc 130 Granite St # C Westerly RI 02891-2461 Ph: (401) 596-8720 |
| NPI Number | 1497980924 |
|---|---|
| Provider Enumeration Date | 05/28/2009 |
| Last Update Date | 05/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497980924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2263 (Rhode Island) | Primary |
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