Individual
DR. STEPHEN NICHOLAS BAKIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2224 PAWTUCKET AVE, EAST PROVIDENCE, RI 02914-1716
(401) 435-4240
(401) 435-4245
Mailing address
120 LAMBIE CIR, PORTSMOUTH, RI 02871-3927
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
80301
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285692731
PRACTICE NPI
—
01
—
80301
STATE LICENSE
RI
Enumeration date
05/11/2007
Last updated
09/28/2007
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