| South County Pediatric Dentistry, Llc | |
|
6 Lambert Street Narragansett RI 02882-3399 | |
| (401) 789-7200 | |
| (401) 789-7205 |
| Full Name | South County Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6 Lambert Street, Narragansett, Rhode Island |
| Authorized Official Name and Position | Matthew Westcott Downey (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 4017897200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Pediatric Dentistry, Llc 6 Lambert Street Narragansett RI 02882-3399 Ph: (401) 789-7200 | South County Pediatric Dentistry, Llc 6 Lambert Street Narragansett RI 02882-3399 Ph: (401) 789-7200 |
| NPI Number | 1336548130 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 08/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336548130 | NPI | - | NPPES |
| MD85555 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DEN03116 (Rhode Island) | Primary |
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