DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PERIODONTICS INCORPORATED

Active Organization

PERIODONTICS INCORPORATED is a Dentist organization located in PROVIDENCE, Rhode Island. NPI 1841398658 is currently active in the NPPES registry. Verify at CMS.

Dentist · PROVIDENCE, RI

Registration Details

NPI Number
1841398658
Provider Type
Organization
NPI Issued
Sep 20, 2006 (19.904803971163 yrs)
Last Updated
Aug 22, 2020
Licenses
DEN02700 (RI)
DEN01328 (RI)
DEN02345 (RI)

Practice Information

Address
167 GANO STREET
PROVIDENCE, RI, 02906
Browse RI providers · Browse ZIP 02906
Phone
4012742600
Fax
4014217875
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.