Individual
POOYAN SADR ESHKEVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
1370 S COUNTY TRL LOWR LEVEL, EAST GREENWICH, RI 02818-1625
(401) 885-1450
Mailing address
1370 S COUNTY TRL LOWR LEVEL, EAST GREENWICH, RI 02818-1625
(401) 885-1450
(401) 885-8570
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DEN03652
RI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN03652
RI
Other
Enumeration date
07/22/2015
Last updated
06/23/2025
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