DR. Gregory S Theberge, DDS

NPI #1851434070 in Johnston, Rhode Island

Provider Information

NPI Number: 1851434070
Entity Type: Individual
Name: DR. Gregory S Theberge, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1740 ATWOOD AVE
City: Johnston
State: Rhode Island
ZIP Code: 02919-3214
Phone: (401) 233-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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