Lifespan Physician Group, Inc. is a Dental Clinic in Providence, Rhode Island. This organization is also known as sub part of Lifespan Corporation. It is located at 593 Eddy St, Providence, RI and its contact number is 401-444-6779. The authorized person for Lifespan Physician Group, Inc. is Mr. Peter K Markell
who is Evp & Cfo of the clinic and their contact number is 401-444-7914. Other organizations associated with this clinic are Lifespan Physician Group, Inc., Rhode Island Hospital, Lifespan Physician Group, Inc. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Lifespan Physician Group, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lifespan Physician Group, Inc.
Specialization:
Dentistry
Clinic Address:
593 Eddy St, Providence, Rhode Island, 02903-4923
Phone:
401-444-6779
Fax:
401-444-6912
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Peter K Markell
Position:
Evp & Cfo
Contact Number:
401-444-7914
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lifespan Physician Group, Inc. clinic are as mentioned below.
NPI Number:
1407116643
Parent Organization:
Lifespan Corporation
NPI Enumeration Date:
22 May, 2012
NPI Last Update On:
06 Nov, 2023
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Lifespan Physician Group, Inc.
Dentistry
1407116643
Rhode Island Hospital
General Practice Dentistry
1770601668
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lifespan Physician Group, Inc. are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Dentist
Secondary
Dietitian, Registered
Secondary
Optometrist
Secondary
Critical Care Medicine
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lifespan Physician Group, Inc. 117 Ellenfield St, Suite 101 Providence, Rhode Island
Zip:
02905-4513
Phone Number:
401-444-6779
Fax Number:
401-444-6912
Patients can reach Lifespan Physician Group, Inc. at 593 Eddy St, Providence, Rhode Island or can call to book an appointment on 401-444-6779. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.