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Contact Information

RAY REZANIA
1055 SOUTH BROADWAY
EAST PROVIDENCE, RI02914
 Phone: 401-438-0200
 Fax: 401-438-0211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RAY REZANIA · (Male)

NPI # 1053543405
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2009
Last updated 07/24/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # DEN02681
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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