| Shaghalian Family Dental, Llc | |
|
1002 Pawtucket Ave Rumford RI 02916-1704 | |
| (401) 438-4964 | |
| (401) 434-6021 |
| Full Name | Shaghalian Family Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1002 Pawtucket Ave, Rumford, Rhode Island |
| Authorized Official Name and Position | Justin W Shaghalian (DENTIST/OWNER) |
| Authorized Official Contact | 4014384964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaghalian Family Dental, Llc 1002 Pawtucket Ave Rumford RI 02916-1704 Ph: (401) 438-4964 | Shaghalian Family Dental, Llc 1002 Pawtucket Ave Rumford RI 02916-1704 Ph: (401) 438-4964 |
| NPI Number | 1568904571 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 11/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568904571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN02886 (Rhode Island) | Primary |
Rumford Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Newman Ave, Suite 1020, Rumford, RI 02916 Phone: 401-434-4304 | |
Riverside Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Newman Ave, Rumford, RI 02916 Phone: 401-434-4304 |