| Woonsocket Dental Associates | |
|
2000 Diamond Hill Rd Woonsocket RI 02895-1554 | |
| (401) 766-8600 | |
| (401) 766-8601 |
| Full Name | Woonsocket Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2000 Diamond Hill Rd, Woonsocket, Rhode Island |
| Authorized Official Name and Position | Michael Brian Forman (PRESIDENT) |
| Authorized Official Contact | 4017668600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woonsocket Dental Associates 2000 Diamond Hill Rd Woonsocket RI 02895-1554 Ph: (401) 766-8600 | Woonsocket Dental Associates 2000 Diamond Hill Rd Woonsocket RI 02895-1554 Ph: (401) 766-8600 |
| NPI Number | 1861585671 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861585671 | NPI | - | NPPES |
| WD02303 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN2031 (Rhode Island) | Primary |
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