| Lakeside Dental, Inc. | |
|
34 Nooseneck Hill Rd Unit #1 West Greenwich RI 02817-1509 | |
| (401) 392-3320 | |
| (401) 392-3380 |
| Full Name | Lakeside Dental, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 34 Nooseneck Hill Rd, West Greenwich, Rhode Island |
| Authorized Official Name and Position | Paul F. Calitri (PRESIDENT) |
| Authorized Official Contact | 4013923320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Dental, Inc. 34 Nooseneck Hill Rd Unit #1 West Greenwich RI 02817-1509 Ph: (401) 392-3320 | Lakeside Dental, Inc. 34 Nooseneck Hill Rd Unit #1 West Greenwich RI 02817-1509 Ph: (401) 392-3320 |
| NPI Number | 1205018033 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205018033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |