Provider Demographics
NPI:1669189650
Name:QDP RI 2 LLC
Entity type:Organization
Organization Name:QDP RI 2 LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF HR
Authorized Official - Prefix:
Authorized Official - First Name:SUZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEIREDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-253-1001
Mailing Address - Street 1:1 FINANCIAL PLZ STE 2100
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-2485
Mailing Address - Country:US
Mailing Address - Phone:401-263-9518
Mailing Address - Fax:
Practice Address - Street 1:2 COMMERCIAL ST STE 8
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-1661
Practice Address - Country:US
Practice Address - Phone:781-253-1001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QDP RI 2 LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1174640817Other1174640817