NPI: 1053584730
Provider Name: ROBERT S GILARDETTI, DMD, MD, INC
Doing Business As: SOUTH COUNTY ORAL, MAXILLOFACIAL AND IMPLANT SURGICAL CENTER
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
Address:
691 KINGSTOWN RD
WAKEFIELD, RI
ZIP 02879
Phone: (401) 789-9758
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ROBERT S GILARDETTI, DMD, MD, INC is an oral and maxillofacial surgery clinic center in Wakefield, RI. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ROBERT S GILARDETTI, DMD, MD, INC NPI is 1053584730. The provider is registered as an organization entity type.
The provider Is Doing Business As South County Oral, Maxillofacial And Implant Surgical Center.
The provider's business location address is:
691 KINGSTOWN RD
WAKEFIELD, RI
ZIP 02879-015
Phone: (401) 789-9758
The provider's authorized official is Robert Steven Gilardetti .
The authorized official title is Presidentowner and has the following contact phone number (401) 789-9758.
The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/2/2008.