Individual
DR. RAYMOND V. MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11 BANK ST, WEST WARWICK, RI 02893-4801
(401) 821-3149
(401) 822-5077
Mailing address
11 BANK ST, WEST WARWICK, RI 02893-4801
(401) 821-3149
(401) 822-5077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1402
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8259-2
BLUE CROSS
RI
05
—
RM03011
—
RI
Enumeration date
02/06/2007
Last updated
07/08/2007
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