Individual
DR. THEODORE G DRUMMOND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
634 MAIN STREET, WARREN, RI 02885
(401) 245-5825
(401) 245-0936
Mailing address
634 MAIN STREET, WARREN, RI 02885
(401) 245-5825
(401) 245-0936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN02444
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14551
UHC
RI
01
—
83861
BCRF
RI
05
—
WD12167
—
RI
Enumeration date
04/09/2008
Last updated
04/09/2008
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