Individual
DR. JOHN R RICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1252 SMITH ST, PROVIDENCE, RI 02908
(401) 521-3483
Mailing address
7 DARIO DRIVE, LINCOLN, RI 02865
(401) 354-8996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2137
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14316-1
DENTAL BENIFITS PROVIDER
RI
01
—
8319-7
RI BLUE CROSS
RI
01
—
JR00816
RI MEDICAL ASSISTANCE
RI
01
—
RI 2137
DELTA DENTAL OF RI
RI
Enumeration date
04/18/2007
Last updated
07/08/2007
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