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Organization
STEPHEN J FALCO JR DMD PC LTD
Active
Organization
STEPHEN J FALCO JR DMD PC LTD
Active
Other names
Stephen J Falco Jr DMD
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES FALCO JR. DMD (OWNER DENTIST)
(401) 245-6131
Entity
Organization
Contact information
Practice address
38 STATE STREET, WARREN, RI 02885
(401) 245-6131
(401) 245-5152
Mailing address
38 STATE STREET, WARREN, RI 02885
(401) 245-6131
(401) 245-5152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN02255
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SF00753
RI MEDICAL ASSISTANCE
RI
Enumeration date
09/20/2006
Last updated
08/22/2020
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