Organization
RHODE ISLAND CHILDREN'S DENTISTRY
Active
Parent organization
RHODE ISLAND CHILDRENS DENTISTRY
Other names
Sutton Children's Dentistry and Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
RHODE ISLAND CHILDRENS DENTISTRY
Authorized official
REBECCA HORNE (MANAGER)
(508) 792-8500
Entity
Organization
Contact information
Practice address
27 GALAXY PASS, SUTTON, MA 01590-4836
(401) 828-1171
Mailing address
27 GALAXY PASS, SUTTON, MA 01590-4836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17240
MA
1223P0221X
Pediatric Dentistry
DN1857501
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN17240
MA
Other
Enumeration date
03/08/2017
Last updated
10/24/2019
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