| Funsmiles, Inc | |
|
123 School St Ste 1 Pawtucket RI 02860-4203 | |
| (401) 834-1200 | |
| (401) 834-1201 |
| Full Name | Funsmiles, Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 123 School St Ste 1, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Sheila Lionheart Brijade (PRESIDENT) |
| Authorized Official Contact | 4018341200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Funsmiles, Inc 123 School St Ste 1 Pawtucket RI 02860-4203 Ph: (401) 834-1200 | Funsmiles, Inc 123 School St Ste 1 Pawtucket RI 02860-4203 Ph: (401) 834-1200 |
| NPI Number | 1184084378 |
|---|---|
| Provider Enumeration Date | 03/01/2016 |
| Last Update Date | 03/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184084378 | NPI | - | NPPES |
| SB11948 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DEN03218 (Rhode Island) | Primary |
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