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Contact Information

HODOSH DENTAL ASSOCIATES, INC.
243 ELMWOOD AVE
PROVIDENCE, RI02907-1547
 Phone: 401-467-4600
 Fax: 401-781-9854
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Denturist

122400000X
 

General Practice

1223G0001X
 

Oral and Maxillofacial Pathology

1223P0106X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for HODOSH DENTAL ASSOCIATES INC · (Female)

NPI # 1679634109
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2006
Last updated 05/26/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • RI License # 1854
  • RI License # 2280
  • MA Other RG0053 BLUE CROSS BLUE SHEILD MA
  • RI Other 8982-7 BLUE CROSS BLUE SHIELD RI
  • RI Other DEN999 MASHENTUCKET-PEQUOT
  • RI Other 780979 UNITED CONCORDIA
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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