Organization
ATTLEBORO CUMBERLAND ORAL SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F BIERNACKI DMD (PARTNER)
(401) 658-2224
Entity
Organization
Contact information
Practice address
3353 MENDON RD, CUMBERLAND, RI 02864
(401) 658-2224
(401) 658-0039
Mailing address
3353 MENDON RD, CUMBERLAND, RI 02864
(401) 658-2224
(401) 658-0039
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
012100
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
01614
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86509
RIBC
—
01
—
X10578
BCBS MA
—
Enumeration date
06/11/2006
Last updated
01/02/2008
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