| Social Street Dental | |
|
515 Social St Woonsocket RI 02895-2043 | |
| (401) 597-5920 | |
| (401) 597-5924 |
| Full Name | Social Street Dental |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 515 Social St, Woonsocket, Rhode Island |
| Authorized Official Name and Position | Josefa Rivera (OFFICE ASSISTANT) |
| Authorized Official Contact | 4019211575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Street Dental 515 Social St Woonsocket RI 02895-2043 Ph: (401) 597-5920 | Social Street Dental 515 Social St Woonsocket RI 02895-2043 Ph: (401) 597-5920 |
| NPI Number | 1194215160 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194215160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DEN02637 (Rhode Island) | Primary |
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