Lakeside Dental, Inc. in West Greenwich - Dental
Lakeside Dental, Inc. - NPI 1205018033
Lakeside Dental, Inc. is a Dental in West Greenwich, Rhode Island. Lakeside Dental, Inc. practices all healthcare services and medical treatments related to Dental. The NPI Number for Lakeside Dental, Inc. is 1205018033. The last update date is 2011-08-03.
Lakeside Dental, Inc.'s current location address is 34 Nooseneck Hill Rd, West Greenwich, Rhode Island. You can contact this provider via phone number 4013923320 and fax number 4013923380. The mailing address for Lakeside Dental, Inc. is 34 Nooseneck Hill Rd, West Greenwich, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Dental, Inc. |
|---|---|
| Address | 34 Nooseneck Hill Rd, West Greenwich, Rhode Island |
| Phone Number | 4013923320 |
| Fax Number | 4013923380 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Calitri F. Paul |
| Credentials | D.M.D. |
| Telephone Number | 4013923320 |
NPI Number Detail
| NPI Number | 1205018033 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2011-08-03 |
Provider Mailing Address Detail
| Address | 34 Nooseneck Hill Rd |
|---|---|
| City | West Greenwich |
| State | Rhode Island (RI) |
| Post Code | 28171509 |
| Phone Number | 4013923320 |
| Fax Number | 4013923380 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identification code assigned to Lakeside Dental, Inc. by the Centers for Medicare & Medicaid Services?
The Lakeside Dental, Inc. has been issued the NPI (National Provider Identifier) 1205018033, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lakeside Dental, Inc. located?
The Lakeside Dental, Inc. is located at 34 Nooseneck Hill Rd, West Greenwich, RI 28171509.
What is the Lakeside Dental, Inc.'s specialty and taxonomy code?
The Lakeside Dental, Inc.'s specialty is Dental, and the corresponding taxonomy code is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205018033 to Lakeside Dental, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1205018033 to Lakeside Dental, Inc. on 2007-12-04.
As of what date were the Lakeside Dental, Inc.'s details last updated?
The information pertaining to the Lakeside Dental, Inc., including its address, specialty, and other details, was most recently updated on 2011-08-03.
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