Periodontics Incorporated is a Dental Clinic in Providence, Rhode Island. It is located at 167 Gano Street, Providence, RI and its contact number is 401-274-2600. The authorized person for Periodontics Incorporated is Dr. Scott M Fertik
who is President of the clinic and their contact number is 401-274-2600. The primary license number for Periodontics Incorporated is DEN02345 (Dentist) in Rhode Island. Periodontics Incorporated 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:
Periodontics Incorporated Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Periodontics Incorporated
Specialization:
Dentistry
Clinic Address:
167 Gano Street, Providence, Rhode Island, 02906
Phone:
401-274-2600
Fax:
401-421-7875
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:
Dr. Scott M Fertik
Position:
President
Contact Number:
401-274-2600
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 Periodontics Incorporated clinic are as mentioned below.
NPI Number:
1841398658
NPI Enumeration Date:
20 Sep, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Periodontics Incorporated are as mentioned below.
Specialization
License Number
State
Status
Dentist
DEN02345
Rhode Island
Primary
Dentist
DEN02700
Rhode Island
Secondary
Dentist
DEN01328
Rhode Island
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:
Periodontics Incorporated 167 Gano Street, Providence, Rhode Island
Zip:
02906
Phone Number:
401-274-2600
Fax Number:
401-421-7875
Patients can reach Periodontics Incorporated at 167 Gano Street, Providence, Rhode Island or can call to book an appointment on 401-274-2600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.