Organization
MARK P. SMALL, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK P SMALL DMD (PRESIDENT)
(401) 738-2500
Entity
Organization
Contact information
Practice address
1090 NEW LONDON AVE, SUITE 2, CRANSTON, RI 02920-3035
(401) 738-2500
(401) 463-6898
Mailing address
1090 NEW LONDON AVE, SUITE 2, CRANSTON, RI 02920-3035
(401) 738-2500
(401) 463-6898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2442
RI
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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