| John S. Carroccia Dds | |
|
136 Phenix Ave Cranston RI 02920-4259 | |
| (401) 942-4760 | |
| (401) 944-0746 |
| Full Name | John S. Carroccia Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 136 Phenix Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | John Salvatore Carrocccia (OWNER) |
| Authorized Official Contact | 4019424760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John S. Carroccia Dds 136 Phenix Ave Cranston RI 02920-4259 Ph: (401) 942-4760 | John S. Carroccia Dds 136 Phenix Ave Cranston RI 02920-4259 Ph: (401) 942-4760 |
| NPI Number | 1285883165 |
|---|---|
| Provider Enumeration Date | 09/16/2008 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285883165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1977 (Rhode Island) | Primary |
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