National Provider Identifier Database

OCEAN STATE ORAL SURGERY CENTERLLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes 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.


Contact Information

OCEAN STATE ORAL SURGERY CENTER,LLC
468 SMITHFIELD RD
NORTH PROVIDENCE, RI02904-4238
Phone: 401-353-1515
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for OCEAN STATE ORAL SURGERY CENTER,LLC

NPI Number 1225420979
Legal business name
LBN
OCEAN STATE ORAL SURGERY CENTER,LLC
Authorized official AARON ERCOLE - (OWNER OF BUSINESS)
Entity Organization
Organization subpart No
Enumeration date 03/04/2015
Last updated 12/30/2015 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • RI License #: DEN03249

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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