NPI 1225420979
Ocean State Oral Surgery Center,llc
Practice location
- Address
- 468 Smithfield Rd, North Providence, RI 02904-4238
- Phone
- (401) 353-1515
Authorised official
- Name
- Aaron Christopher Ercole
- Title
- Owner of Business
- Phone
- (562) 833-5570
Registered specialties
Oral and Maxillofacial Surgery Clinic/Center
Primary
Registry record
- NPI
- 1225420979
- Entity type
- Organization
- NPI issued
- 4 Mar 2015
- Record last updated
- 30 Dec 2015
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.