Provider Demographics
NPI:1265542955
Name:GETTINGER, GEORGE B (DMD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:B
Last Name:GETTINGER
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 1:2138 MENDON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-3835
Mailing Address - Country:US
Mailing Address - Phone:401-305-5757
Mailing Address - Fax:401-305-5755
Practice Address - Street 1:2138 MENDON RD STE 201
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-3835
Practice Address - Country:US
Practice Address - Phone:401-305-5757
Practice Address - Fax:401-305-5755
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN019901223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics