Champagne And Light, Dmds, LLC
Dentist, General Practice in Providence, Rhode Island
1548439417- Practice location
- 189 Waterman St, Providence, RI 02906-4014
- Phone
- 401-351-0072
- Fax
- 401-351-0055
- Last updated
- February 26, 2008
Champagne And Light, Dmds, LLC is a healthcare organization based in Providence, RI. Champagne And Light, Dmds, LLC practices in Providence, RI. The NPI Number for Champagne And Light, Dmds, LLC is 1548439417 and holds a License No. DEN2216 (RI). The current practice location address for Champagne And Light, Dmds, LLC is 189 Waterman St, Providence, RI 02906-4014 and can be reached out via phone at 401-351-0072 and via fax at 401-351-0055.
Provider Profile Details
- NPI Number
- 1548439417
- Provider Name
- Champagne And Light, Dmds, LLC
- Provider Entity Type
- Organization
- Address
- 189 Waterman St, Providence, RI 02906-4014
- Phone Number
- 401-351-0072
- Fax Number
- 401-351-0055
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Gary Douglas Light, DMD · Principal · 401-351-0072
- Provider Enumeration Date
- February 26, 2008
- Last Update Date
- February 26, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 189 Waterman St
Providence, RI 02906-4014 - City
- Providence
- State
- Rhode Island
- Zip
- 02906-4014
- Phone Number
- 401-351-0072
- Fax Number
- 401-351-0055
Provider Business Mailing Address Details
- Address
- 189 Waterman St
Providence, RI 02906-4014 - City
- Providence
- State
- RI
- Zip
- 02906-4014
- Phone Number
- 401-351-0072
- Fax Number
- 401-351-0055
License Information
- License Number
- DEN2216
- License State
- RI
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Champagne And Light, Dmds, LLC?
The NPI number of Champagne And Light, Dmds, LLC is 1548439417. It was assigned on February 26, 2008 and is currently active in the NPPES registry.
What is the specialty of Champagne And Light, Dmds, LLC?
Champagne And Light, Dmds, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in RI under license number DEN2216.
Where does Champagne And Light, Dmds, LLC practice?
The practice location is 189 Waterman St, Providence, RI 02906-4014. The office can be reached at 401-351-0072 (phone) or 401-351-0055 (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 1548439417 directly on the NPPES registry website.