NPI 1063565794 · live from the CMS NPI Registry
Ricardo Burdiel, DMD
Dentist, General Practice in Cranston, RI. National Provider Identifier 1063565794, active.
NPI record
| NPI | 1063565794 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1090 New London Ave, Cranston, RI 02920 |
| Practice phone | 401-463-9333 |
| Enumerated | January 18, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DEN2422 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.