| Clock Tower Oral Surgery Llc | |
|
206 Clock Tower Sq Portsmouth RI 02871-1397 | |
| (401) 285-1188 | |
| Not Available |
| Full Name | Clock Tower Oral Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 206 Clock Tower Sq, Portsmouth, Rhode Island |
| Authorized Official Name and Position | Beckie Anderson (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 4012851188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clock Tower Oral Surgery Llc 206 Clock Tower Sq Portsmouth RI 02871-1397 Ph: (401) 285-1188 | Clock Tower Oral Surgery Llc 206 Clock Tower Sq Portsmouth RI 02871-1397 Ph: (401) 285-1188 |
| NPI Number | 1255076295 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 05/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255076295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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