| Southeast Dental Sleep Therapy | |
|
310 Maple Ave Ste 106a Barrington RI 02806 | |
| (401) 289-2490 | |
| (401) 289-2590 |
| Full Name | Southeast Dental Sleep Therapy |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 Maple Ave, Barrington, Rhode Island |
| Authorized Official Name and Position | James C Goff (OWNER/PRESIDENT) |
| Authorized Official Contact | 4013741903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Dental Sleep Therapy 135 Seaview Ave Swansea MA 02777 Ph: (401) 374-1903 | Southeast Dental Sleep Therapy 310 Maple Ave Ste 106a Barrington RI 02806 Ph: (401) 289-2490 |
| NPI Number | 1538207485 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 09/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538207485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1515 (Rhode Island) | Secondary |
| 122300000X | Dentist | 19445 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | 1515 (Rhode Island) | Primary |
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