Provider Demographics
NPI:1518362136
Name:NEIL F DUNGCA DDS INC
Entity Type:Organization
Organization Name:NEIL F DUNGCA DDS INC
Other - Org Name:N/A
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:F
Authorized Official - Last Name:DUNGCA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:401-737-7715
Mailing Address - Street 1:3411 W SHORE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:401-737-7715
Mailing Address - Fax:401-737-7713
Practice Address - Street 1:3411 W SHORE RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-7561
Practice Address - Country:US
Practice Address - Phone:401-737-7715
Practice Address - Fax:401-737-7713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI2750261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental