Organization
LIVEWELL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK EDWARD GIBBONS DMD (MANAGER)
(401) 769-0798
Entity
Organization
Contact information
Practice address
501 GREAT RD STE 206, NORTH SMITHFIELD, RI 02896-6833
(401) 769-0798
(401) 762-0302
Mailing address
501 GREAT ROAD SUITE #206, NORTH SMITHFIELD, RI 02896
(401) 769-0798
(401) 762-0302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03137
RI
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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