Resnevic Dental, Llc | |
895 Putnam Pike Chepachet RI 02814-1471 | |
(401) 567-0500 | |
(401) 567-9272 |
Full Name | Resnevic Dental, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 895 Putnam Pike, Chepachet, Rhode Island |
Authorized Official Name and Position | George Resnevic (OWNER/DENTIST) |
Authorized Official Contact | 4015670500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Resnevic Dental, Llc 895 Putnam Pike Chepachet RI 02814-1471 Ph: (401) 567-0500 | Resnevic Dental, Llc 895 Putnam Pike Chepachet RI 02814-1471 Ph: (401) 567-0500 |
NPI Number | 1114268679 |
---|---|
Provider Enumeration Date | 03/08/2013 |
Last Update Date | 03/08/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114268679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1789 (Rhode Island) | Primary |
1223G0001X | Dentist - General Practice | 3131 (Rhode Island) | Secondary |
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