| Michael M. Gooding Dmd L.t.d | |
|
1422 Warwick Ave Warwick RI 02888-5026 | |
| (401) 463-7678 | |
| (401) 463-3897 |
| Full Name | Michael M. Gooding Dmd L.t.d |
|---|---|
| Speciality | Dentist |
| Location | 1422 Warwick Ave, Warwick, Rhode Island |
| Authorized Official Name and Position | Elissa Marie Jubinville (OFFICE MANAGER) |
| Authorized Official Contact | 4014637678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael M. Gooding Dmd L.t.d 1422 Warwick Ave Warwick RI 02888-5026 Ph: (401) 463-7678 | Michael M. Gooding Dmd L.t.d 1422 Warwick Ave Warwick RI 02888-5026 Ph: (401) 463-7678 |
| NPI Number | 1184107880 |
|---|---|
| Provider Enumeration Date | 09/10/2018 |
| Last Update Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184107880 | NPI | - | NPPES |
| 1407997687 | Other | RI | PERSONAL NPI |
| 1700362639 | Other | RI | PERSONAL NPI MIA GOODING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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