Dr Milton Jason Liu, DDS | |
210 Main St, Pawtucket, RI 02860-4008 | |
(401) 729-5239 | |
(401) 312-2011 |
Full Name | Dr Milton Jason Liu |
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Gender | Male |
Speciality | Dentist |
Location | 210 Main St, Pawtucket, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326359266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 15330 (Maryland) | Secondary |
122300000X | Dentist | LD00055 (Rhode Island) | Secondary |
122300000X | Dentist | DEN03122 (Rhode Island) | Primary |
Entity Name | Wood River Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417947383 PECOS PAC ID: 2466417506 Enrollment ID: O20041130000808 |
Entity Name | Rhode Island Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770601668 PECOS PAC ID: 8921900044 Enrollment ID: O20120705000002 |
Mailing Address | Practice Location Address |
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Dr Milton Jason Liu, DDS 210 Main St, Pawtucket, RI 02860-4008 Ph: (401) 729-5239 | Dr Milton Jason Liu, DDS 210 Main St, Pawtucket, RI 02860-4008 Ph: (401) 729-5239 |
Gloria Hwang, DMD Dentist Medicare: Medicare Enrolled Practice Location: 210 Main St, Pawtucket, RI 02860 Phone: 401-729-5239 | |
Dr. Gerard Arthur Belhumeur, DDS Dentist Medicare: Medicare Enrolled Practice Location: 629 Central Ave, Pawtucket, RI 02861 Phone: 401-726-0277 Fax: 401-724-5134 | |
Jordan Maria Henry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 210 Main St, Pawtucket, RI 02860 Phone: 401-729-5239 | |
Dr. Dimitri George Ganim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 878 Newport Ave, Pawtucket, RI 02861 Phone: 401-725-6140 Fax: 401-726-8045 | |
Dr. Paul G. Roque, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 642 Newport Ave, Pawtucket, RI 02861 Phone: 401-722-3757 Fax: 401-722-3757 | |
Dr. Lalita Bhattacharya, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 42 Park Place, Pawtucket, RI 02860 Phone: 401-729-5239 Fax: 401-729-0438 | |
Michele Gendron Siler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 480 Broadway, Pawtucket, RI 02860 Phone: 401-728-6654 Fax: 401-728-5726 |