Coventry Orthodontic LLC
NPI #1124263884 in Coventry, Rhode Island
Provider Information
- NPI Number
- 1124263884
- Entity Type
- Organization
- Organization Name
- Coventry Orthodontic LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Dec 10, 2008
- Last Updated
- Dec 10, 2008
Practice Location
- Address
- 2435 NOOSENECK HILL RD
- City
- Coventry
- State
- Rhode Island
- ZIP Code
- 02816
- Phone
- (401) 397-9400
Authorized Official
- Name
- DR. JOHN S KACEWICZ
- Title
- ORTHODONTIST
- Phone
- (401) 884-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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