Jonathan B. Vane Dmd, P.c.. | |
38 State St Warren RI 02885-3128 | |
(401) 245-6131 | |
Not Available |
Full Name | Jonathan B. Vane Dmd, P.c.. |
---|---|
Speciality | Clinic/center - Dental |
Location | 38 State St, Warren, Rhode Island |
Authorized Official Name and Position | Jonathan Bruce Vane (OWNER) |
Authorized Official Contact | 4012456131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jonathan B. Vane Dmd, P.c.. 38 State St Warren RI 02885-3128 Ph: (401) 245-6131 | Jonathan B. Vane Dmd, P.c.. 38 State St Warren RI 02885-3128 Ph: (401) 245-6131 |
NPI Number | 1891944294 |
---|---|
Provider Enumeration Date | 09/10/2008 |
Last Update Date | 02/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891944294 | NPI | - | NPPES |
8381-6 | Other | RI | BLUE CROSS BLUE SHIELD RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DEN02726 (Rhode Island) | Primary |
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