NPI 1366046583 · live from the CMS NPI Registry
Blackstone Endodontics, LLC
Dentist, Endodontics in Cumberland, RI. National Provider Identifier 1366046583, active.
NPI record
| NPI | 1366046583 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Endodontics 1223E0200X |
| Practice location | 2138 Mendon Rd Ste 102, Cumberland, RI 02864 |
| Practice phone | 401-405-4411 |
| Enumerated | November 29, 2020 |
| Last updated | November 29, 2020 |
| Authorized official | Mariya Shnaydman, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics primary | 1223E0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.