Provider Demographics
NPI:1447407812
Name:DANIEL TRAMONTI, JR. D.D.S
Entity Type:Organization
Organization Name:DANIEL TRAMONTI, JR. D.D.S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAMONTI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:401-785-2707
Mailing Address - Street 1:1908 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-3509
Mailing Address - Country:US
Mailing Address - Phone:401-785-2707
Mailing Address - Fax:
Practice Address - Street 1:1908 BROAD ST
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02905-3509
Practice Address - Country:US
Practice Address - Phone:401-785-2707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI19731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty