East Side Endodontics in Providence - Endodontics
East Side Endodontics - NPI 1518906965
East Side Endodontics is a Endodontics in Providence, Rhode Island. East Side Endodontics practices all healthcare services and medical treatments related to Endodontics. The NPI Number for East Side Endodontics is 1518906965. The last update date is 2020-08-22.
East Side Endodontics's current location address is 130 Waterman St, Providence, Rhode Island. You can contact this provider via phone number 4015213746 and fax number 4015210037. The mailing address for East Side Endodontics is 130 Waterman St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Side Endodontics |
|---|---|
| Address | 130 Waterman St, Providence, Rhode Island |
| Phone Number | 4015213746 |
| Fax Number | 4015210037 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tanzi S Janet |
| Credentials | D.D.S. |
| Telephone Number | 4015213746 |
NPI Number Detail
| NPI Number | 1518906965 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 130 Waterman St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29062010 |
| Phone Number | 4015213746 |
| Fax Number | 4015210037 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 2173 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code issued to East Side Endodontics by the Centers for Medicare & Medicaid Services?
The East Side Endodontics has been assigned the NPI (National Provider Identifier) 1518906965 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where East Side Endodontics's facilities are situated?
The facilities of East Side Endodontics are physically located at the following address: 130 Waterman St, Providence, RI, 29062010.
What is the East Side Endodontics's specialty and taxonomy code?
The East Side Endodontics's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
When was the East Side Endodontics's 1518906965 issued?
The East Side Endodontics's 1518906965 was issued on 2006-06-04.
When was the information regarding East Side Endodontics most recently updated?
The details pertaining to the East Side Endodontics, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.