Provider Demographics
NPI:1750711420
Name:ADVANCED CARE ENDODONTICS INC
Entity type:Organization
Organization Name:ADVANCED CARE ENDODONTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-293-5933
Mailing Address - Street 1:31 KING CHARLES DR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-1448
Mailing Address - Country:US
Mailing Address - Phone:401-293-5933
Mailing Address - Fax:401-293-5934
Practice Address - Street 1:31 KING CHARLES DR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-1448
Practice Address - Country:US
Practice Address - Phone:401-293-5933
Practice Address - Fax:401-293-5934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI30321223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty