| Beacon Dental Health Ri Ii Llc | |
|
61 Cedar Ave Unit 5 East Greenwich RI 02818-3190 | |
| (401) 884-4874 | |
| Not Available |
| Full Name | Beacon Dental Health Ri Ii Llc |
|---|---|
| Speciality | Dentist |
| Location | 61 Cedar Ave Unit 5, East Greenwich, Rhode Island |
| Authorized Official Name and Position | Hiro Soriano (CIO) |
| Authorized Official Contact | 5163445746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Dental Health Ri Ii Llc 135 Pinelawn Rd Ste 150s Melville NY 11747-3187 Ph: () - | Beacon Dental Health Ri Ii Llc 61 Cedar Ave Unit 5 East Greenwich RI 02818-3190 Ph: (401) 884-4874 |
| NPI Number | 1124764204 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124764204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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John S. Kacewicz, D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Main St, East Greenwich, RI 02818 Phone: 401-884-6500 Fax: 401-886-4432 | |
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