Organization
TIVERTON DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODERICK WILLIAM BUTLIN DMD (PARTNER)
(401) 624-2901
Entity
Organization
Contact information
Practice address
1061 FISH RD, TIVERTON, RI 02878
(401) 624-2901
(401) 624-6446
Mailing address
1061 FISH RD, TIVERTON, RI 02878
(401) 624-2901
(401) 624-6446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
06/17/2008
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