| Ri Specialty Dental Services, Llc | |
|
840 Tiogue Ave Coventry RI 02816-2900 | |
| (418) 281-1171 | |
| Not Available |
| Full Name | Ri Specialty Dental Services, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 840 Tiogue Ave, Coventry, Rhode Island |
| Authorized Official Name and Position | Charlotte E Vial (DIREC OF CRED AND PROV REL) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ri Specialty Dental Services, Llc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Ri Specialty Dental Services, Llc 840 Tiogue Ave Coventry RI 02816-2900 Ph: (418) 281-1171 |
| NPI Number | 1336912112 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336912112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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