OCEAN STATE ORAL SURGERY CENTER,LLC; NPI #1225420979

Contact Information

OCEAN STATE ORAL SURGERY CENTER,LLC

468 SMITHFIELD RD
NORTH PROVIDENCE, RI 02904-4238

Phone: 401-353-1515
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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

NPI Number 1225420979

LBN Legal business name OCEAN STATE ORAL SURGERY CENTER,LLC

Authorized official AARON ERCOLE - (OWNER OF BUSINESS)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/04/2015

Last updated 12/30/2015 - About 10 years ago

Identifiers

License #

DEN03249

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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