Boustani Periodontics PC
Boustani Periodontics PC is a Periodontics in Providence, Rhode Island. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
40 Elmgrove AveProvidence, RI 02906-4104
Phone: (401) 421-1717
Fax: (401) 421-0066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X |
|---|
Record details
| NPI number | 1114745155 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gabriel Boustani — President · (617) 640-4637 |
| NPI enumerated | September 30, 2024 |
| Last updated in NPPES | September 30, 2024 |
| Certification date | September 30, 2024 |
| Mailing address | 40 Elmgrove Ave, Providence, RI 02906-4104 |
Other providers in Providence
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Dr. John G. Broderick, DMD
167 Gano St, Providence, RI 02906-3808 · (401) 274-2600
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Dr. Scott Mark Fertik, DDS
167 Gano St, Providence, RI 02906-3808 · (401) 274-2600
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Dr. Donald Michael Kallio, DMD
16 Bridge St Corliss Lndg, Providence, RI 02903-4362 · (401) 861-5000
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Erica Kleinbaum, DMD
167 Gano St, Providence, RI 02906-3808 · (401) 274-2600