Samuels Sinclair Dental Center | |
593 Eddy St Providence RI 02903-4923 | |
(401) 444-4312 | |
Not Available |
Full Name | Samuels Sinclair Dental Center |
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Speciality | Clinic/Center |
Location | 593 Eddy St, Providence, Rhode Island |
Authorized Official Name and Position | Peter K Markell (EVP & CFO) |
Authorized Official Contact | 4014447914 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Samuels Sinclair Dental Center 117 Ellenfield St Ste 101 Providence RI 02905-4541 Ph: (401) 444-6779 | Samuels Sinclair Dental Center 593 Eddy St Providence RI 02903-4923 Ph: (401) 444-4312 |
NPI Number | 1770601668 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 04/05/2023 |
Medicare PECOS PAC ID | 8921900044 |
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Medicare Enrollment ID | O20120705000002 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770601668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Milton Liu |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1326359266 PECOS PAC ID: 9830498039 Enrollment ID: I20211111002465 |
Provider Name | Joseph Anthony Manzella |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1336718428 PECOS PAC ID: 2769883032 Enrollment ID: I20240109001342 |
Provider Name | Sara M Dinardo |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1548609357 PECOS PAC ID: 2668779265 Enrollment ID: I20240122001286 |
Provider Name | George Joseph Dupont |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1689726762 PECOS PAC ID: 4981056355 Enrollment ID: I20240122002212 |
Provider Name | Eileen M Danaher |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1376982181 PECOS PAC ID: 2264739846 Enrollment ID: I20240126002549 |
Provider Name | Elizabeth G Benz |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1760779516 PECOS PAC ID: 3375840507 Enrollment ID: I20240207003914 |
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Dentplus Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Kennedy Plz, Providence, RI 02903 Phone: 401-454-3000 Fax: 401-521-9004 | |
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Celestial Smile Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Dorrance St Ste 700, Providence, RI 02903 Phone: 781-774-9885 | |
Wellrooted Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Chestnut St Ste 1, Providence, RI 02903 Phone: 401-533-9632 Fax: 401-415-8608 |