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NPI 1629353552 · live from the CMS NPI Registry

Asciolla Family Dentistry INC

Dentist, General Practice in East Greenwich, RI. National Provider Identifier 1629353552, active.

NPI record

NPI1629353552 Type 2 · organization
StatusActive
Primary specialtyDentist, General Practice 1223G0001X
Practice location880 Main St, East Greenwich, RI 02818
Practice phone401-884-5242
EnumeratedOctober 11, 2011
Last updatedOctober 11, 2011
Authorized officialPamela Korus, Office Manager

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, General Practice primary1223G0001X02460 (RI)

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