|
| |
|
593 Eddy St Providence RI 02903-4923 | |
| (401) 444-5284 | |
| (401) 444-3494 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 593 Eddy St, Providence, Rhode Island |
| Authorized Official Name and Position | Peter K Markell (EVP & CFO) |
| Authorized Official Contact | 4014447914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
117 Ellenfield St Providence RI 02905-4513 Ph: (401) 444-5284 | 593 Eddy St Providence RI 02903-4923 Ph: (401) 444-5284 |
| NPI Number | 1356426613 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 04/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356426613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | HOS00121 (Rhode Island) | Primary |
Angell Street Dental Associates, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Angell St, Providence, RI 02906 Phone: 401-272-2331 Fax: 401-272-2361 | |
Sunnyside Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 Angell St, Providence, RI 02906 Phone: 401-272-4900 Fax: 401-272-5989 | |
Cityline Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Reservoir Ave, Suite 3d, Providence, RI 02907 Phone: 401-941-3353 Fax: 401-461-6558 | |
Zumstein Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Governor St, Providence, RI 02906 Phone: 401-274-1140 | |
Boustani Periodontics Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Elmgrove Ave, Providence, RI 02906 Phone: 401-421-1717 Fax: 401-421-0066 | |
Celestial Smile Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Dorrance St Ste 700, Providence, RI 02903 Phone: 781-774-9885 |