Periodontics Incorporated
Periodontics Incorporated is a Dentist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.
- Licensed in
- RI
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
167 Gano StProvidence, RI 02906
Phone: (401) 274-2600
Fax: (401) 421-7875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DEN02345 (RI) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence DEN02700 (RI) |
| Dentist | Taxonomy 122300000X · Licence DEN01328 (RI) |
Record details
| NPI number | 1841398658 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Fertik — President · (401) 274-2600 |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 167 Gano Street, Providence, RI 02906 |
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