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Organization
RUSSELL S. CHIN, DDS, LTS
Active
Organization
RUSSELL S. CHIN, DDS, LTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL S CHIN (DENTIST)
(401) 728-1450
Entity
Organization
Contact information
Practice address
1288 NEWPORT AVE, PAWTUCKET, RI 02861-1851
(401) 728-1450
(401) 727-1488
Mailing address
1288 NEWPORT AVE, PAWTUCKET, RI 02861-1851
(401) 728-1450
(401) 727-1488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1763
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1763
DELTA DENTAL
RI
01
—
8175-5
BLUE CROSS BLUE SHIELD RI
RI
01
—
RG0025
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
10/12/2006
Last updated
09/17/2008
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