Dr. Farisa Surattanont Mulvey is a Providence, Rhode Island based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Farisa Surattanont Mulvey is 2834 for Pediatric Dentistry in Rhode Island. Her current practice location is 148 Waterman St, Providence. Patients can reach her at 401-272-3443.
Dr. Farisa Surattanont Mulvey provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Farisa Surattanont Mulvey speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Farisa Surattanont Mulvey
Specialization:
Pediatric Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
148 Waterman St, Providence, Rhode Island, 02906-2130
Phone:
401-272-3443
Fax:
401-272-3539
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 are as mentioned below.
NPI Number:
1275583874
NPI Enumeration Date:
12 May, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Farisa Surattanont Mulvey are as mentioned below.
License Number
Specialization
State
Status
2834
Pediatric Dentistry
Rhode Island
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Farisa Surattanont Mulvey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
FS53913
Medicaid
Rhode Island
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
148 Waterman St, P.o. Box 2608 Providence, Rhode Island
Zip:
02906-2130
Phone Number:
401-272-3443
Fax Number:
401-272-3539
Patients can reach Dr. Farisa Surattanont Mulvey at 148 Waterman St, Providence, Rhode Island or can call to book an appointment on 401-272-3443. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.