Provider Demographics
NPI:1275694218
Name:OCEAN STATE ENDODONTICS
Entity Type:Organization
Organization Name:OCEAN STATE ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OCEAN STATE ENDODONTICS
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MORGANTI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:401-943-7714
Mailing Address - Street 1:1145 RESERVOIR AVENUE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-6000
Mailing Address - Country:US
Mailing Address - Phone:401-943-7714
Mailing Address - Fax:401-946-3780
Practice Address - Street 1:1145 RESERVOIR AVENUE
Practice Address - Street 2:SUITE 225
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6000
Practice Address - Country:US
Practice Address - Phone:401-943-7714
Practice Address - Fax:401-946-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN024231223E0200X
RIDEN025961223E0200X
RIDEN026271223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty