| St. Joseph Dental Associates | |
|
21 Peace St Providence RI 02907-1510 | |
| (401) 456-4321 | |
| (401) 456-4369 |
| Full Name | St. Joseph Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 21 Peace St, Providence, Rhode Island |
| Authorized Official Name and Position | Robert Jon Elders (SECRETARY) |
| Authorized Official Contact | 7147881249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph Dental Associates 200 High Service Ave North Providence RI 02904-5113 Ph: (401) 456-3000 | St. Joseph Dental Associates 21 Peace St Providence RI 02907-1510 Ph: (401) 456-4321 |
| NPI Number | 1639584717 |
|---|---|
| Provider Enumeration Date | 06/26/2014 |
| Last Update Date | 01/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639584717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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