NPI 1336398676 · live from the CMS NPI Registry
Advanced Cosmetic Dentistry Ltd
Dentist, Periodontics in Cranston, RI. National Provider Identifier 1336398676, active.
NPI record
| NPI | 1336398676 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Periodontics 1223P0300X |
| Practice location | 1090 New London Ave, Cranston, RI 02920 |
| Practice phone | 401-943-6311 |
| Enumerated | September 11, 2008 |
| Last updated | March 3, 2016 |
| Authorized official | Richard Glick, President |
| Other names | Periodontology Associates Ltd |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Periodontics primary | 1223P0300X | — (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.