| Spartan Dental Inc | |
|
105 Sockanosset Cross Rd Suite 316 Cranston RI 02920-5560 | |
| (401) 383-7569 | |
| (401) 228-6915 |
| Full Name | Spartan Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Sockanosset Cross Rd, Cranston, Rhode Island |
| Authorized Official Name and Position | Elias George Koutros (PRESIDENT) |
| Authorized Official Contact | 4013837569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spartan Dental Inc 105 Sockanosset Cross Rd Suite 316 Cranston RI 02920-5560 Ph: (401) 383-7569 | Spartan Dental Inc 105 Sockanosset Cross Rd Suite 316 Cranston RI 02920-5560 Ph: (401) 383-7569 |
| NPI Number | 1699113746 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 09/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699113746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN02860 (Rhode Island) | Primary |
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