Individual
DR. PETER A. MACGILLIVRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1635 MINERAL SPRING AVE, SUITE 201, NORTH PROVIDENCE, RI 02904-4025
(401) 353-0800
(401) 354-4240
Mailing address
14 HOUGHTON RD, SUTTON, MA 01590-3814
(401) 353-0800
(401) 354-4240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RI DEN 02140
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140
BCBS OF RI
RI
Enumeration date
11/08/2006
Last updated
07/08/2007
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