| Oral Maxillofacial Surgery And Dental Implant Center Pc | |
|
65 W Main Rd Middletown RI 02842-4933 | |
| (401) 848-0070 | |
| (401) 848-2225 |
| Full Name | Oral Maxillofacial Surgery And Dental Implant Center Pc |
|---|---|
| Speciality | Dentist |
| Location | 65 W Main Rd, Middletown, Rhode Island |
| Authorized Official Name and Position | Valerie Mercer (BILLING & ADMINISTRATIVE MANAGER) |
| Authorized Official Contact | 4015955369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Maxillofacial Surgery And Dental Implant Center Pc 65 W Main Rd Middletown RI 02842-4933 Ph: (401) 848-0070 | Oral Maxillofacial Surgery And Dental Implant Center Pc 65 W Main Rd Middletown RI 02842-4933 Ph: (401) 848-0070 |
| NPI Number | 1306681788 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 06/27/2024 |
| Medicare PECOS PAC ID | 2961941323 |
|---|---|
| Medicare Enrollment ID | O20240829000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306681788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Brian P Hogan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588649644 PECOS PAC ID: 2365517729 Enrollment ID: I20080819000666 |
| Provider Name | David K Fiaschetti |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851499529 PECOS PAC ID: 4880740653 Enrollment ID: I20090918000537 |
| Provider Name | Joanne B Castaneda |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740574938 PECOS PAC ID: 5991949018 Enrollment ID: I20130911000463 |
| Provider Name | Alexander James Gomes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952893943 PECOS PAC ID: 5092050005 Enrollment ID: I20231129002446 |
Charles P. Columpar, Jr., Dmd, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 477 E Main Rd, Middletown, RI 02842 Phone: 401-846-6265 Fax: 401-846-1648 | |
Aquidneck Aesthetic Dentistry Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 E Main Rd, Middletown, RI 02842 Phone: 401-849-3008 Fax: 401-849-3083 | |
Middletown Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 Aquidneck Ave, Middletown, RI 02842 Phone: 401-847-2094 | |
Ashley Faiella Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Aquidneck Ave, Middletown, RI 02842 Phone: 401-847-1115 | |
Dr. Leonard C. Taddei, D.m.d Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 Aquidneck Ave, Middletown, RI 02842 Phone: 401-847-2094 | |