Portsmouth Dental Associates
NPI #1790167443 in Portsmouth, Rhode Island
Provider Information
- NPI Number
- 1790167443
- Entity Type
- Organization
- Organization Name
- Portsmouth Dental Associates
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 18, 2015
- Last Updated
- Jul 28, 2015
Practice Location
- Address
- 2765 E MAIN RD
- City
- Portsmouth
- State
- Rhode Island
- ZIP Code
- 02871-2605
- Phone
- (401) 683-9724
Authorized Official
- Name
- DR. NATHAN WAYNE TILMAN, DDS
- Title
- OWNER/DENTIST
- Phone
- (401) 683-9724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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