Active NPIOrganization

Advanced Cosmetic Dentistry LTD

Dentist, Periodontics in Cranston, Rhode Island

NPI Number1336398676
Practice location
1090 New London Ave, Cranston, RI 02920-3035
Fax
401-943-2030
Last updated
March 3, 2016

Advanced Cosmetic Dentistry LTD is a healthcare organization based in Cranston, RI. Advanced Cosmetic Dentistry LTD practices in Cranston, RI. The NPI Number for Advanced Cosmetic Dentistry LTD is 1336398676. The current practice location address for Advanced Cosmetic Dentistry LTD is 1090 New London Ave, Cranston, RI 02920-3035 and can be reached out via phone at 401-943-6311 and via fax at 401-943-2030.

Provider Profile Details

NPI Number
1336398676
Provider Name
Advanced Cosmetic Dentistry LTD
Provider Entity Type
Organization
Address
1090 New London Ave, Cranston, RI 02920-3035
Phone Number
401-943-6311
Fax Number
401-943-2030
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Dr. Richard L Glick, DDS · President · 401-943-6311
Other Names
Periodontology Associates LTD (Former Legal Business Name)
Provider Enumeration Date
September 11, 2008
Last Update Date
March 3, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1090 New London Ave
Cranston, RI 02920-3035
Zip
02920-3035
Phone Number
401-943-6311
Fax Number
401-943-2030
Cranston, RI 02920Get directions →

Provider Business Mailing Address Details

Address
1090 New London Ave
Cranston, RI 02920-3035
City
Cranston
State
RI
Zip
02920-3035
Phone Number
401-943-6311
Fax Number
401-943-2030

License Information

License State
RI
Taxonomy
Dentist, Periodontics · 1223P0300X · 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 Advanced Cosmetic Dentistry LTD?

The NPI number of Advanced Cosmetic Dentistry LTD is 1336398676. It was assigned on September 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Advanced Cosmetic Dentistry LTD?

Advanced Cosmetic Dentistry LTD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X).

Where does Advanced Cosmetic Dentistry LTD practice?

The practice location is 1090 New London Ave, Cranston, RI 02920-3035. The office can be reached at 401-943-6311 (phone) or 401-943-2030 (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 1336398676 directly on the NPPES registry website.

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