Childrens Dentistry of Westerly LLC
NPI #1497980924 in Westerly, Rhode Island
Provider Information
- NPI Number
- 1497980924
- Entity Type
- Organization
- Organization Name
- Childrens Dentistry of Westerly LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 28, 2009
- Last Updated
- May 28, 2009
Practice Location
- Address
- 130 GRANITE ST # C
- City
- Westerly
- State
- Rhode Island
- ZIP Code
- 02891-2461
- Phone
- (401) 596-8720
Authorized Official
- Name
- DR. BRIAN PAUL SHANNON, D.D.S
- Title
- OWNER
- Phone
- (401) 596-8720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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