Provider Demographics
NPI:1669458071
Name:ARCAND, ALBERT R (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:R
Last Name:ARCAND
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1079 MAIN STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893
Mailing Address - Country:US
Mailing Address - Phone:401-826-2833
Mailing Address - Fax:401-826-2833
Practice Address - Street 1:1079 MAIN STREET
Practice Address - Street 2:SUITE B
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893
Practice Address - Country:US
Practice Address - Phone:401-826-2833
Practice Address - Fax:401-826-2833
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI024901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI02490OtherRI LICENSE #
RI050487385OtherTAX IDENTIFICATION #
RI050487385OtherTAX IDENTIFICATION #