Provider Demographics
NPI:1972188589
Name:SEMCO ORTHODONTICS, P.C.
Entity Type:Organization
Organization Name:SEMCO ORTHODONTICS, P.C.
Other - Org Name:SLEEP APNEA AND TMJ THERAPY OF SOUTHERN NEW ENGLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SEMCO
Authorized Official - Suffix:SR
Authorized Official - Credentials:DMD, MS, DABDSM
Authorized Official - Phone:401-848-5252
Mailing Address - Street 1:58 E MAIN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-4988
Mailing Address - Country:US
Mailing Address - Phone:401-848-5252
Mailing Address - Fax:
Practice Address - Street 1:58 E MAIN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-4988
Practice Address - Country:US
Practice Address - Phone:401-848-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty