Organization
OCEAN STATE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON PUN DDS (DENTIST)
(443) 995-2829
Entity
Organization
Contact information
Practice address
903 TIOGUE AVE, COVENTRY, RI 02816-6300
(443) 995-2829
Mailing address
5 WAKE ROBIN RD UNIT 3103, LINCOLN, RI 02865-5229
(443) 995-2829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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