Northprovidencedentalassociates
NPI #1174614705 in North Providence, Rhode Island
Provider Information
- NPI Number
- 1174614705
- Entity Type
- Organization
- Organization Name
- Northprovidencedentalassociates
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1635 MINERAL SPRING AVE
- Address 2
- #201
- City
- North Providence
- State
- Rhode Island
- ZIP Code
- 02904-4025
- Phone
- (401) 353-0800
Authorized Official
- Name
- DR. PETER A MACGILLIVRAY, DDS
- Title
- PRESIDENT
- Phone
- (401) 353-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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