| Perio Inc | |
|
67 Jefferson Boulvard Warwick RI 02888-1053 | |
| (401) 781-2742 | |
| (401) 781-2740 |
| Full Name | Perio Inc |
|---|---|
| Speciality | Dentist |
| Location | 67 Jefferson Boulvard, Warwick, Rhode Island |
| Authorized Official Name and Position | Brenda R Pierce (OWNER) |
| Authorized Official Contact | 4017812742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perio Inc 67 Jefferson Boulvard Warwick RI 02888-1053 Ph: (401) 781-2742 | Perio Inc 67 Jefferson Boulvard Warwick RI 02888-1053 Ph: (401) 781-2742 |
| NPI Number | 1891811063 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 12/13/2011 |
| Medicare PECOS PAC ID | 3779751524 |
|---|---|
| Medicare Enrollment ID | O20110824000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891811063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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