Organization
SOUTH COUNTY PEDIATRIC DENTISTRY, LLC
Active
Parent organization
M DOWNEY REAL ESTATE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
M DOWNEY REAL ESTATE, LLC
Authorized official
DR. MATTHEW WESTCOTT DOWNEY DMD (OWNER/PEDIATRIC DENTIST)
(401) 789-7200
Entity
Organization
Contact information
Practice address
6 LAMBERT STREET, NARRAGANSETT, RI 02882-3399
(401) 789-7200
(401) 789-7205
Mailing address
6 LAMBERT STREET, NARRAGANSETT, RI 02882-3399
(401) 789-7200
(401) 789-7205
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN03116
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD85555
—
RI
Enumeration date
08/18/2014
Last updated
08/26/2014
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