Organization
THOMAS S. MULVEY DDS LLC
Active
Other names
Providence Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS SPENCER MULVEY D.D.S. (OWNER)
(917) 566-2652
Entity
Organization
Contact information
Practice address
111 POINT STREET, SUITE 1, PROVIDENCE, RI 02903
(401) 272-3443
(401) 272-3539
Mailing address
P.O. BOX 2608, PROVIDENCE, RI 02906
(917) 566-2652
(401) 272-3539
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2821
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TM51137
—
RI
Enumeration date
04/04/2007
Last updated
07/30/2020
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