NPI 1346804564 · live from the CMS NPI Registry
Benefit Dental Care, LLC
Dentist in Providence, RI. National Provider Identifier 1346804564, active.
NPI record
| NPI | 1346804564 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 159 Governor St, Providence, RI 02906 |
| Practice phone | 401-274-1140 |
| Enumerated | April 23, 2019 |
| Last updated | April 23, 2019 |
| Authorized official | Mardy Costa, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.