| Russell S. Chin, Dds, Lts | |
|
1288 Newport Ave Pawtucket RI 02861-1851 | |
| (401) 728-1450 | |
| (401) 727-1488 |
| Full Name | Russell S. Chin, Dds, Lts |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1288 Newport Ave, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Russell S Chin (DENTIST) |
| Authorized Official Contact | 4017281450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell S. Chin, Dds, Lts 1288 Newport Ave Pawtucket RI 02861-1851 Ph: (401) 728-1450 | Russell S. Chin, Dds, Lts 1288 Newport Ave Pawtucket RI 02861-1851 Ph: (401) 728-1450 |
| NPI Number | 1003905233 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003905233 | NPI | - | NPPES |
| 1763 | Other | RI | DELTA DENTAL |
| 8175-5 | Other | RI | BLUE CROSS BLUE SHIELD RI |
| RG0025 | Other | MA | BLUE CROSS BLUE SHIELD MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1763 (Rhode Island) | Primary |
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