| Johnston Dental Group, Llc | |
|
1524 Atwood Ave Suite 438 Johnston RI 02919-3228 | |
| (401) 273-4411 | |
| Not Available |
| Full Name | Johnston Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1524 Atwood Ave, Johnston, Rhode Island |
| Authorized Official Name and Position | Marcus Capalbo (OWNER/DENTIST) |
| Authorized Official Contact | 4012734411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnston Dental Group, Llc 1524 Atwood Ave Suite 438 Johnston RI 02919-3228 Ph: (401) 273-4411 | Johnston Dental Group, Llc 1524 Atwood Ave Suite 438 Johnston RI 02919-3228 Ph: (401) 273-4411 |
| NPI Number | 1982148243 |
|---|---|
| Provider Enumeration Date | 12/06/2016 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982148243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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