| Portsmouth Dental Associates | |
|
2765 E Main Rd Portsmouth RI 02871-2605 | |
| (401) 683-9724 | |
| Not Available |
| Full Name | Portsmouth Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2765 E Main Rd, Portsmouth, Rhode Island |
| Authorized Official Name and Position | Nathan Wayne Tilman (OWNER/DENTIST) |
| Authorized Official Contact | 4016839724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portsmouth Dental Associates 136 Broadway Newport RI 02840-2748 Ph: (401) 683-9724 | Portsmouth Dental Associates 2765 E Main Rd Portsmouth RI 02871-2605 Ph: (401) 683-9724 |
| NPI Number | 1790167443 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790167443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN02928 (Rhode Island) | Primary |
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