| Charles Street Dental | |
|
870 Charles St North Providence RI 02904-5643 | |
| (401) 475-9898 | |
| Not Available |
| Full Name | Charles Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 870 Charles St, North Providence, Rhode Island |
| Authorized Official Name and Position | John Ricci (OWNER) |
| Authorized Official Contact | 4014759898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Street Dental 870 Charles St North Providence RI 02904-5643 Ph: (401) 475-9898 | Charles Street Dental 870 Charles St North Providence RI 02904-5643 Ph: (401) 475-9898 |
| NPI Number | 1528325693 |
|---|---|
| Provider Enumeration Date | 04/13/2012 |
| Last Update Date | 04/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528325693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN2137 (Rhode Island) | Primary |
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