Provider Demographics
NPI:1093889800
Name:DRS ASCHAFFENBURG & ENGLISH JR LTD
Entity Type:Organization
Organization Name:DRS ASCHAFFENBURG & ENGLISH JR LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:COUTURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-732-1188
Mailing Address - Street 1:222 JEFFERSON BOULEVARD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-3855
Mailing Address - Country:US
Mailing Address - Phone:401-732-1188
Mailing Address - Fax:401-732-5512
Practice Address - Street 1:222 JEFFERSON BOULEVARD
Practice Address - Street 2:SUITE 301
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3855
Practice Address - Country:US
Practice Address - Phone:401-732-1188
Practice Address - Fax:401-732-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI22171223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty