Wellformed AI

NPI 1477571602 · live from the CMS NPI Registry

Lindsay Ciombor Brislin, D.M.D.

Dentist in Pawtucket, RI. National Provider Identifier 1477571602, active.

NPI record

NPI1477571602 Type 1 · individual
StatusActive
Primary specialtyDentist 122300000X
Practice location536 Central Ave, Pawtucket, RI 02861
Practice phone401-726-1772
Mailing address51 Front St, B201, Cumberland, RI 02864
EnumeratedJuly 17, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist primary122300000XDEN02935 (RI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.