| Jonathan B. Vane Dmd, P.c.. | |
|
38 State St Warren RI 02885-3128 | |
| (401) 245-6131 | |
| Not Available |
| Full Name | Jonathan B. Vane Dmd, P.c.. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 38 State St, Warren, Rhode Island |
| Authorized Official Name and Position | Jonathan Bruce Vane (OWNER) |
| Authorized Official Contact | 4012456131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan B. Vane Dmd, P.c.. 38 State St Warren RI 02885-3128 Ph: (401) 245-6131 | Jonathan B. Vane Dmd, P.c.. 38 State St Warren RI 02885-3128 Ph: (401) 245-6131 |
| NPI Number | 1891944294 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 02/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891944294 | NPI | - | NPPES |
| 8381-6 | Other | RI | BLUE CROSS BLUE SHIELD RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN02726 (Rhode Island) | Primary |
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