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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