| Stone Bridge Dental Group | |
|
1750 Main Rd Tiverton RI 02878-4538 | |
| (401) 624-2375 | |
| Not Available |
| Full Name | Stone Bridge Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1750 Main Rd, Tiverton, Rhode Island |
| Authorized Official Name and Position | Paul Bazzoni (EMPLOYEE) |
| Authorized Official Contact | 4016242375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Bridge Dental Group 1750 Main Rd Tiverton RI 02878-4538 Ph: (401) 624-2375 | Stone Bridge Dental Group 1750 Main Rd Tiverton RI 02878-4538 Ph: (401) 624-2375 |
| NPI Number | 1861647158 |
|---|---|
| Provider Enumeration Date | 12/01/2008 |
| Last Update Date | 12/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861647158 | NPI | - | NPPES |
| 8931-3 | Other | RI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1864 (Rhode Island) | Primary |
Tiverton Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1061 Fish Rd, Tiverton, RI 02878 Phone: 401-624-2901 Fax: 401-624-6446 | |
Dutchmen Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Main Rd, Tiverton, RI 02878 Phone: 401-624-9177 Fax: 401-624-9233 | |
Jon-paul Van Regenmorter Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Main Rd, Tiverton, RI 02878 Phone: 401-624-9177 Fax: 401-624-9233 |