# UPDIKE DENTAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558431767
- **Authorized official:** CONSTANCE M COUSINS DDS (PRESIDENT)
- **Authorized official phone:** (401) 295-1992

## Contact information

- **Practice address:** 29 UPDIKE AVE, N KINGSTOWN, RI 02852-5728
- **Practice address phone:** (401) 295-1992
- **Mailing address:** 29 UPDIKE AVE, WICKFORD, RI 02852
- **Mailing address phone:** (401) 295-1992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | RI | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020