| Ri Dental Care Inc. | |
|
868 Charles Strete North Providence RI 02904-5646 | |
| (401) 729-9500 | |
| (401) 729-9519 |
| Full Name | Ri Dental Care Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 868 Charles Strete, North Providence, Rhode Island |
| Authorized Official Name and Position | Paul Kotuby (PRESIDENT) |
| Authorized Official Contact | 4017299500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ri Dental Care Inc. 868 Charles St North Providence RI 02904-5646 Ph: (401) 729-9500 | Ri Dental Care Inc. 868 Charles Strete North Providence RI 02904-5646 Ph: (401) 729-9500 |
| NPI Number | 1417231572 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 10/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417231572 | NPI | - | NPPES |
| 1346521200 | Medicaid | RI | |
| 158695658 | Medicaid | RI | |
| 1942323621 | Medicaid | RI | |
| 1144473588 | Medicaid | RI | |
| 1336478882 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN1874 (Rhode Island) | Primary |
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