institution
East Bay Oral Surgery
Oral and Maxillofacial Surgery (Dentist) in East Providence, Rhode Island
NPI 1285692731

East Bay Oral Surgery is a Oral and Maxillofacial Surgery (Dentist) based in East Providence, RI and is specialized in Oral and Maxillofacial Surgery. East Bay Oral Surgery practices in East Providence, RI. The NPI Number for East Bay Oral Surgery is 1285692731 and holds a License No. 1686 (Rhode Island).

The current practice location address for East Bay Oral Surgery is 2224 Pawtucket Avenue, East Providence, RI and can be reached out via phone at 401-435-4240 and via fax at 401-435-4245.

Location: 2224 Pawtucket Avenue, East Providence, RI, 02914
institution
Provider Profile Details
NPI Number
1285692731
Provider Name
East Bay Oral Surgery
Credential
Provider Entity Type
Organization
Address
2224 Pawtucket Avenue, East Providence, RI, 02914
Phone Number
401-435-4240
Fax Number
401-435-4245
Provider Enumeration Date
05/03/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X11644 01 MA BLUE CROSS
80301 01 RI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2224 Pawtucket Avenue
City
State
Zip
02914
Phone Number
401-435-4240
Fax Number
401-435-4245
person
Provider Business Mailing Address Details
Address
2224 Pawtucket Avenue
City
State
Zip
02914
Phone Number
401-435-4240
Fax Number
401-435-4245
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
1686 (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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