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 |
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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 |
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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 |
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Provider Enumeration Date | 06/27/2024 |
Last Update Date | 06/27/2024 |
Medicare PECOS PAC ID | 2961941323 |
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Medicare Enrollment ID | O20240829000635 |
Identifier | Type | State | Issuer |
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1306681788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Brian P Hogan |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1588649644 PECOS PAC ID: 2365517729 Enrollment ID: I20080819000666 |
Provider Name | David K Fiaschetti |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1851499529 PECOS PAC ID: 4880740653 Enrollment ID: I20090918000537 |
Provider Name | Joanne B Castaneda |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1740574938 PECOS PAC ID: 5991949018 Enrollment ID: I20130911000463 |
Provider Name | Alexander James Gomes |
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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 | |