Ri Dental Care Inc. | |
868 Charles Strete North Providence RI 02904-5646 | |
(401) 729-9500 | |
(401) 729-9519 |
Full Name | Ri Dental Care Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 868 Charles Strete, North Providence, Rhode Island |
Authorized Official Name and Position | Paul Kotuby (PRESIDENT) |
Authorized Official Contact | 4017299500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ri Dental Care Inc. 868 Charles St North Providence RI 02904-5646 Ph: (401) 729-9500 | Ri Dental Care Inc. 868 Charles Strete North Providence RI 02904-5646 Ph: (401) 729-9500 |
NPI Number | 1417231572 |
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Provider Enumeration Date | 10/06/2011 |
Last Update Date | 10/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417231572 | NPI | - | NPPES |
1346521200 | Medicaid | RI | |
158695658 | Medicaid | RI | |
1942323621 | Medicaid | RI | |
1144473588 | Medicaid | RI | |
1336478882 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DEN1874 (Rhode Island) | Primary |
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