Provider Demographics
NPI:1689988602
Name:ROBERT L. SEINSKY DMD
Entity Type:Organization
Organization Name:ROBERT L. SEINSKY DMD
Other - Org Name:ROBERT L. SERINSKY DMD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:SERINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:401-521-3822
Mailing Address - Street 1:5 BENEFIT ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-2762
Mailing Address - Country:US
Mailing Address - Phone:401-521-3822
Mailing Address - Fax:401-521-1020
Practice Address - Street 1:5 BENEFIT ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-2762
Practice Address - Country:US
Practice Address - Phone:401-521-3822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN1684261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI8910-6OtherBLUE CROSS RI