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RUSSELL S. CHIN DDS LTS NPI 1003905233


NPI Information

NPI: 1003905233
Provider Name: RUSSELL S. CHIN, DDS, LTS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1288 NEWPORT AVE
PAWTUCKET, RI
ZIP 02861
Phone: (401) 728-1450
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RUSSELL S. CHIN, DDS, LTS is a general practice dentist in Pawtucket, RI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RUSSELL S. CHIN, DDS, LTS NPI is 1003905233. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1288 NEWPORT AVE
PAWTUCKET, RI
ZIP 02861-851
Phone: (401) 728-1450
Fax: (401) 727-1488

The provider's authorized official is Russell S Chin .
The authorized official title is Dentist and has the following contact phone number (401) 728-1450.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 9/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice1763RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11763OTHERRHODE ISLANDDELTA DENTAL
2RC00783MEDICARE ID-TYPE UNSPECIFIEDRHODE ISLAND
38175-5OTHERRHODE ISLANDBLUE CROSS BLUE SHIELD RI
4RG0025OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD MA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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