| Oms Specialists, Inc. | |
|
1524 Atwood Ave Suite #137 Johnston RI 02919-3228 | |
| (401) 751-8029 | |
| (401) 751-0266 |
| Full Name | Oms Specialists, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1524 Atwood Ave, Johnston, Rhode Island |
| Authorized Official Name and Position | Richard E. Gordon (OWNER) |
| Authorized Official Contact | 4017518029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oms Specialists, Inc. 1524 Atwood Ave Suite #137 Johnston RI 02919-3228 Ph: (401) 751-8029 | Oms Specialists, Inc. 1524 Atwood Ave Suite #137 Johnston RI 02919-3228 Ph: (401) 751-8029 |
| NPI Number | 1427170208 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427170208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DNT1823 (Rhode Island) | Primary |
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