Individual
GEORGE JOSEPH DUPONT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
593 EDDY STREET, JOSEPH SAMUELS DENTAL CENTER AT RIH, PROVIDENCE, RI 02903
(401) 444-8302
(401) 444-3494
Mailing address
593 EDDY STREET, JOSEPH SAMUELS DENTAL CENTER AT RIH, PROVIDENCE, RI 02903
(401) 444-8302
(401) 444-3494
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN02524
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DP13793
—
RI
Enumeration date
01/17/2007
Last updated
07/08/2007
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