Organization
NORDSTROM ORTHODONTICS LLC
Active
Organization
NORDSTROM ORTHODONTICS LLC
Active
Other names
Nordstrom Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRETT NORDSTROM DDS, MS (MANAGER)
(617) 335-3015
Entity
Organization
Contact information
Practice address
1226 HARTFORD AVE STE 101, JOHNSTON, RI 02919-7100
(401) 331-7171
(401) 331-2755
Mailing address
18 MAPLE AVE # 117, BARRINGTON, RI 02806-3560
(617) 335-3015
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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