Periodontics Incorporated in Providence - Dentist
Periodontics Incorporated - NPI 1841398658
Periodontics Incorporated is a Dentist in Providence, Rhode Island. Periodontics Incorporated practices all healthcare services and medical treatments related to Dentist. The NPI Number for Periodontics Incorporated is 1841398658. The last update date is 2020-08-22.
Periodontics Incorporated's current location address is 167 Gano Street, Providence, Rhode Island. You can contact this provider via phone number 4012742600 and fax number 4014217875. The mailing address for Periodontics Incorporated is 167 Gano Street, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontics Incorporated |
|---|---|
| Address | 167 Gano Street, Providence, Rhode Island |
| Phone Number | 4012742600 |
| Fax Number | 4014217875 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fertik M Scott |
| Credentials | DDS |
| Telephone Number | 4012742600 |
NPI Number Detail
| NPI Number | 1841398658 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 167 Gano Street |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 2906 |
| Phone Number | 4012742600 |
| Fax Number | 4014217875 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DEN02700 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Periodontics Incorporated by the Centers for Medicare & Medicaid Services?
The Periodontics Incorporated has been issued the NPI (National Provider Identifier) 1841398658 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Periodontics Incorporated's physical address?
The Periodontics Incorporated is physically located at 167 Gano Street, in the city of Providence, RI, with the postal code 2906.
What is Periodontics Incorporated's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Periodontics Incorporated is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did the Periodontics Incorporated receive its 1841398658?
The Periodontics Incorporated was issued its 1841398658 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Periodontics Incorporated last refreshed?
The information related to the Periodontics Incorporated, including its address, specialty, and other relevant details, was last updated on 2020-08-22.