# DR JOHN RICCI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primeau Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952683286
- **Authorized official:** DR. JOHN R RICCI DMD (OWNER)
- **Authorized official phone:** (401) 737-9363

## Contact information

- **Practice address:** 200 TOLL GATE RD, SUITE 104, WARWICK, RI 02886-4491
- **Practice address phone:** (401) 737-9363
- **Mailing address:** 200 TOLL GATE RD, SUITE 104, WARWICK, RI 02886-4491
- **Mailing address phone:** (401) 737-9363

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2011
- **Last updated:** 09/13/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | JR00816 | — | RI |