| Dr. Lawrence D Page Inc. | |
|
31 Elmgrove Ave Providence RI 02906-4103 | |
| (401) 421-9350 | |
| Not Available |
| Full Name | Dr. Lawrence D Page Inc. |
|---|---|
| Speciality | Dentist |
| Location | 31 Elmgrove Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Lawrence D Page (DENTIST) |
| Authorized Official Contact | 4014219350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lawrence D Page Inc. 31 Elmgrove Ave Providence RI 02906-4103 Ph: (401) 421-9350 | Dr. Lawrence D Page Inc. 31 Elmgrove Ave Providence RI 02906-4103 Ph: (401) 421-9350 |
| NPI Number | 1255531265 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255531265 | NPI | - | NPPES |
| LP01970 | Medicaid | RI | |
| LP01971 | Medicaid | RI | |
| MP01974 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1348 (Rhode Island) | Primary |
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