| Wickford Dental Assoc Inc | |
|
181 West Main St N Kingston RI 02852 | |
| (401) 295-8806 | |
| (401) 295-8828 |
| Full Name | Wickford Dental Assoc Inc |
|---|---|
| Speciality | Dentist |
| Location | 181 West Main St, N Kingston, Rhode Island |
| Authorized Official Name and Position | Paul N Boscra (DENTIST) |
| Authorized Official Contact | 4012958806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wickford Dental Assoc Inc 181 West Main St N Kingston RI 02852 Ph: (401) 295-8806 | Wickford Dental Assoc Inc 181 West Main St N Kingston RI 02852 Ph: (401) 295-8806 |
| NPI Number | 1316053556 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316053556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN02574 (Rhode Island) | Primary |