ADVANCED COSMETIC DENTISTRY LTD NPI 1336398676

NPI Information

ADVANCED COSMETIC DENTISTRY LTD is a periodontics dentist in Cranston, RI. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. ADVANCED COSMETIC DENTISTRY LTD NPI is 1336398676. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Periodontology Associates Ltd.

The provider's business location address is:

1090 NEW LONDON AVE
CRANSTON, RI
ZIP 02920-035
Phone: (401) 943-6311
Fax: (401) 943-2030

The provider's authorized official is Richard L Glick .
The authorized official title is President and has the following contact phone number (401) 943-6311.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 3/3/2016.

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:

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