| Blackstone Dental,pc | |
|
1044 Broad St Central Falls RI 02863-1507 | |
| (401) 722-4086 | |
| (401) 475-1811 |
| Full Name | Blackstone Dental,pc |
|---|---|
| Speciality | Dentist |
| Location | 1044 Broad St, Central Falls, Rhode Island |
| Authorized Official Name and Position | Emmanuel Antonio Frias (DENTIST/OWNER) |
| Authorized Official Contact | 4017224086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackstone Dental,pc 1044 Broad St Central Falls RI 02863-1507 Ph: (401) 722-4086 | Blackstone Dental,pc 1044 Broad St Central Falls RI 02863-1507 Ph: (401) 722-4086 |
| NPI Number | 1184927931 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 3476080078 |
|---|---|
| Medicare Enrollment ID | O20241220000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184927931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 02994 (Rhode Island) | Primary |
Comfort Dental Ii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Dexter St, Central Falls, RI 02863 Phone: 401-305-6688 | |
Blackstone Valley Family Dental Assoc.pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1044 Broad St, Central Falls, RI 02863 Phone: 401-793-6352 |