Organization
RHODE ISLAND PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MINH PHAM DMD (OWNER/PERIODONTIST)
(401) 233-9800
Entity
Organization
Contact information
Practice address
1740 ATWOOD AVE, JOHNSTON, RI 02919-3214
(401) 233-9800
Mailing address
1740 ATWOOD AVE, JOHNSTON, RI 02919-3214
(401) 233-9800
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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