Dutchman Dental LLC
NPI #1922109370 in Tiverton, Rhode Island
Provider Information
- NPI Number
- 1922109370
- Entity Type
- Organization
- Organization Name
- Dutchman Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1359 MAIN RD
- City
- Tiverton
- State
- Rhode Island
- ZIP Code
- 02878
- Phone
- (401) 624-9177
Authorized Official
- Name
- MR. JON-PAUL VAN REGENMORTER, DDS
- Title
- OWNER
- Phone
- (401) 624-9177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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