| Sunny Smile Group X Llc | |
|
112 Gate Rd North Kingstown RI 02852 | |
| (401) 522-9055 | |
| Not Available |
| Full Name | Sunny Smile Group X Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 Gate Rd, North Kingstown, Rhode Island |
| Authorized Official Name and Position | Michelle Jacomino-barnes (DIRECTOR CREDENTIALING & ENROLLMENT) |
| Authorized Official Contact | 8132709497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunny Smile Group X Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Sunny Smile Group X Llc 112 Gate Rd North Kingstown RI 02852 Ph: (401) 522-9055 |
| NPI Number | 1386325298 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386325298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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