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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.

NPI Number 1679634109
LBN Legal business name HODOSH DENTAL ASSOCIATES, INC.
Authorized official ALEX HODOSH - (DR. -MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2006
Last updated 05/26/2009 - About 17 years ago
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
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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