| Ri Dental | |
|
465 Reservoir Ave Cranston RI 02910-1728 | |
| (401) 450-2177 | |
| (401) 450-2779 |
| Full Name | Ri Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 465 Reservoir Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Benjamin Rodrick (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 4014502177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ri Dental 465 Reservoir Ave Cranston RI 02910-1728 Ph: () - | Ri Dental 465 Reservoir Ave Cranston RI 02910-1728 Ph: (401) 450-2177 |
| NPI Number | 1598043630 |
|---|---|
| Provider Enumeration Date | 07/22/2011 |
| Last Update Date | 07/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598043630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN0314 (Rhode Island) | Primary |
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