Individual
DR. ROBERT L GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15 OAK ST, SPRINGVALE, ME 04083-1926
(207) 490-6900
(207) 324-0546
Mailing address
44 LOVE LN, NORTH KINGSTOWN, RI 02852-2510
(401) 884-8289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN01825
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN01825
DENTIST & CONTROLLED SUB.
RI
01
—
DEN4223
MAINE BOARD OF DENTAL EXAMINERS
ME
05
—
RG33703
—
RI
Enumeration date
07/07/2006
Last updated
03/07/2023
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