Active NPIIndividual providerSole proprietor

Dr. Peter A Bourdeau, DDS

Dentist, General Practice in Warwick, Rhode Island

NPI Number1053447193
Practice location
469 Centerville RD, Suite # 107, Warwick, RI 02886-4354
Fax
401-739-2578
Last updated
July 8, 2007

Peter Armand Bourdeau is a Dentist, General Practice based in Warwick, RI. Peter Armand Bourdeau practices in Warwick, RI and has the professional credentials of DDS. The NPI Number for Peter Armand Bourdeau is 1053447193 and holds a License No. DEN01704 (RI). The current practice location address for Peter Armand Bourdeau is 469 Centerville RD, Suite # 107, Warwick, RI 02886-4354 and can be reached out via phone at 401-739-2345 and via fax at 401-739-2578.

Provider Profile Details

NPI Number
1053447193
Provider Name
Peter Armand Bourdeau
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
469 Centerville RD, Suite # 107, Warwick, RI 02886-4354
Phone Number
401-739-2345
Fax Number
401-739-2578
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
February 25, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
469 Centerville RD
Suite # 107
Warwick, RI 02886-4354
Zip
02886-4354
Phone Number
401-739-2345
Fax Number
401-739-2578
Warwick, RI 02886Get directions →

Provider Business Mailing Address Details

Address
469 Centerville RD
Suite # 107
Warwick, RI 02886-4354
City
Warwick
State
RI
Zip
02886-4354
Phone Number
401-739-2345
Fax Number
401-739-2578

License Information

License Number
DEN01704
License State
RI
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Peter A Bourdeau, DDS?

The NPI number of Dr. Peter A Bourdeau, DDS is 1053447193. It was assigned on February 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Peter A Bourdeau, DDS?

Dr. Peter A Bourdeau, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in RI under license number DEN01704.

Where does Dr. Peter A Bourdeau, DDS practice?

The practice location is 469 Centerville RD, Suite # 107, Warwick, RI 02886-4354. The office can be reached at 401-739-2345 (phone) or 401-739-2578 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053447193 directly on the NPPES registry website.

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