NPI 1023881570
Pawtucket Orthodontics LLC
Practice location
- Address
- 123 School St STE 3, Pawtucket, RI 02860-4270
- Phone
- (401) 728-0150
Authorised official
- Name
- Zachary Kofos
- Title
- Owner
- Phone
- (617) 678-3125
Registered specialties
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
Registry record
- NPI
- 1023881570
- Entity type
- Organization
- NPI issued
- 6 Nov 2023
- Record last updated
- 6 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.