Organization · Type 2 NPI
Boustani Periodontics PC
Periodontics · Providence, RI
NPI number
1114745155
Active
Practice location
40 Elmgrove Ave
Providence, RI 02906-4104
Fax (401) 421-0066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Providence
About NPI 1114745155
Boustani Periodontics PC's National Provider Identifier is 1114745155, issued on Sep 30, 2024. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Providence, RI. The record was last updated on Sep 30, 2024.