| Bayside Dental Incorporated | |
|
15 Gooding Ave Suite 1 Bristol RI 02809-2600 | |
| (401) 253-3781 | |
| (401) 253-9324 |
| Full Name | Bayside Dental Incorporated |
|---|---|
| Speciality | Dentist |
| Location | 15 Gooding Ave, Bristol, Rhode Island |
| Authorized Official Name and Position | Paul M Kotuby (DENTIST) |
| Authorized Official Contact | 4012533781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Dental Incorporated 15 Gooding Ave Suite 1 Bristol RI 02809-2600 Ph: (401) 253-3781 | Bayside Dental Incorporated 15 Gooding Ave Suite 1 Bristol RI 02809-2600 Ph: (401) 253-3781 |
| NPI Number | 1942323621 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942323621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN01874 (Rhode Island) | Primary |
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