| Livewell Dental Llc | |
|
501 Great Rd Ste 206 North Smithfield RI 02896-6833 | |
| (401) 769-0798 | |
| (401) 762-0302 |
| Full Name | Livewell Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 501 Great Rd Ste 206, North Smithfield, Rhode Island |
| Authorized Official Name and Position | Frank Edward Gibbons (MANAGER) |
| Authorized Official Contact | 4017690798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Dental Llc 501 Great Road Suite #206 North Smithfield RI 02896 Ph: (401) 769-0798 | Livewell Dental Llc 501 Great Rd Ste 206 North Smithfield RI 02896-6833 Ph: (401) 769-0798 |
| NPI Number | 1023394947 |
|---|---|
| Provider Enumeration Date | 10/24/2011 |
| Last Update Date | 10/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023394947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN03137 (Rhode Island) | Primary |
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