| Pediatric Dentistry, Ltd. | |
|
1090 New London Ave Cranston RI 02920-3035 | |
| (401) 943-7535 | |
| Not Available |
| Full Name | Pediatric Dentistry, Ltd. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1090 New London Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Steven Dennis Lasser (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4019437535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry, Ltd. 245 Laurel Ave Providence RI 02906-5730 Ph: (401) 943-7535 | Pediatric Dentistry, Ltd. 1090 New London Ave Cranston RI 02920-3035 Ph: (401) 943-7535 |
| NPI Number | 1063545143 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063545143 | NPI | - | NPPES |
| PD-00520 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1726 (Rhode Island) | Primary |
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