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Individual

DR. IAN SCOTT SILVERSMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1130 TEN ROD RD STE A104, N KINGSTOWN, RI 02852-4128
(401) 667-7079
Mailing address
1130 TEN ROD RD STE A104, N KINGSTOWN, RI 02852-4128
(401) 667-7079
(401) 667-7520

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN02827
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110074354A
MA
Enumeration date
08/25/2005
Last updated
07/14/2010
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