Mark P. Small, Dmd, Inc.
NPI #1104998467 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1104998467
- Entity Type
- Organization
- Organization Name
- Mark P. Small, Dmd, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1090 NEW LONDON AVE
- Address 2
- SUITE 2
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02920-3035
- Phone
- (401) 738-2500
Authorized Official
- Name
- DR. MARK P SMALL, DMD
- Title
- PRESIDENT
- Phone
- (401) 738-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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