NPI 1043453574 · live from the CMS NPI Registry
Big Smiles Rhode Island PC
Dentist in North Providence, RI. National Provider Identifier 1043453574, active.
NPI record
| NPI | 1043453574 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1800 Mineral Spring Ave Ste D, #175, North Providence, RI 02904 |
| Practice phone | 888-833-8441 |
| Mailing address | 33533 W 12 Mile Rd, Suite 150, Farmington Hills, MI 48331 |
| Enumerated | April 14, 2009 |
| Last updated | April 14, 2009 |
| Authorized official | Elliot Schlang, Dental Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | DEN03028 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.