Organization
NORTHPROVIDENCEDENTALASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A MACGILLIVRAY DDS (PRESIDENT)
(401) 353-0800
Entity
Organization
Contact information
Practice address
1635 MINERAL SPRING AVE, #201, NORTH PROVIDENCE, RI 02904-4025
(401) 353-0800
(401) 354-4240
Mailing address
1635 MINERAL SPRING AVE, #201, NORTH PROVIDENCE, RI 02904-4025
(401) 353-0800
(401) 354-4240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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