Organization
JOANNE C LEWIS PEDIATRIC DENTISTRY LLC
Active
Other names
Chariho Children's Dentistry, Children's Dentistry of East Greenwich
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA N JOHNSON (PRACTICE MANAGER)
(401) 285-2500
Entity
Organization
Contact information
Practice address
5700 POST RD UNIT 5, EAST GREENWICH, RI 02818-3455
(401) 285-2500
(401) 823-1702
Mailing address
5700 POST RD UNIT 5, EAST GREENWICH, RI 02818-3455
(401) 285-2500
(401) 823-1702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1114362506
RI
1223G0001X
General Practice Dentistry
1497729370
RI
1223P0221X
Pediatric Dentistry
1053759225
RI
1223P0221X
Pediatric Dentistry
Primary
1487644852
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487644852
NPI
—
01
—
1891157145
NPI
—
01
—
1912036013
NPI
—
Enumeration date
01/20/2017
Last updated
02/20/2019
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