institution
Leland S Blough Jr Dmd Ltd
Oral and Maxillofacial Surgery (Dentist) in Warwick, Rhode Island
NPI 1073888798

Leland S Blough Jr Dmd Ltd is a Oral and Maxillofacial Surgery (Dentist) based in Warwick, RI and is specialized in Oral and Maxillofacial Surgery. Leland S Blough Jr Dmd Ltd practices in Warwick, RI. The NPI Number for Leland S Blough Jr Dmd Ltd is 1073888798 and holds a License No. 2455 (Rhode Island).

The current practice location address for Leland S Blough Jr Dmd Ltd is 33 College Hill Rd, Warwick, RI and can be reached out via phone at 401-828-3688 and via fax at 401-828-8588.

Location: 33 College Hill Rd, Warwick, RI, 02886-2776
institution
Provider Profile Details
NPI Number
1073888798
Provider Name
Leland S Blough Jr Dmd Ltd
Credential
Provider Entity Type
Organization
Address
33 College Hill Rd, Warwick, RI, 02886-2776
Phone Number
401-828-3688
Fax Number
401-828-8588
Provider Enumeration Date
03/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
198008128 01 RI PTAN
institution
Provider Business Practice Location Address Details
Address
33 College Hill Rd
City
State
Zip
02886-2776
Phone Number
401-828-3688
Fax Number
401-828-8588
person
Provider Business Mailing Address Details
Address
33 College Hill Rd
City
State
Zip
02886-2776
Phone Number
401-828-3688
Fax Number
401-828-8588
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2455 (Rhode Island)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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