Whalio Doctors

NPI 1285692731

East Bay Oral Surgery

Organisation Oral and Maxillofacial Surgery (Dentist) East Providence, RI

Practice location

Address
2224 Pawtucket Avenue, East Providence, RI 02914
Phone
(401) 435-4240
Fax
(401) 435-4245

Authorised official

Name
Stephen Nicholas Bakias
Title
Owner
Phone
(401) 435-4240

Registered specialties (2)

Oral and Maxillofacial Surgery (Dentist) Primary
Dental Providers Taxonomy 1223S0112X Licence 1686 (RI)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 16987 (MA)

Registry record

NPI
1285692731
Entity type
Organization
NPI issued
3 May 2006
Record last updated
20 Apr 2008

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.