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Contact Information

BLACKSTONE VALLEY FAMILY DENTAL ASSOCIATES
465 RESERVOIR AVE
CRANSTON, RI02910-1728
 Phone: 401-450-2177
 Fax: 401-450-2779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BLACKSTONE VALLEY FAMILY DENTAL ASSOCIATES

NPI # 1598043630
LBN Legal business name BLACKSTONE VALLEY FAMILY DENTAL ASSOCIATES
Authorized official BENJAMIN RODRICK - (EXECUTIVE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2011
Last updated 07/22/2011 - About 15 years ago
Identifiers
RI License # DEN0314
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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