Organization
JONATHAN B. VANE DMD, P.C..
Active
Other names
James M. Baker DDS, PC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BRUCE VANE DMD (OWNER)
(401) 245-6131
Entity
Organization
Contact information
Practice address
38 STATE ST, WARREN, RI 02885-3128
(401) 245-6131
Mailing address
38 STATE ST, WARREN, RI 02885-3128
(401) 245-6131
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN02726
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8381-6
BLUE CROSS BLUE SHIELD RI
RI
Enumeration date
09/10/2008
Last updated
02/25/2016
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