Individual provider · Type 1 NPI

Gregory S. Theberge, DDS

Periodontics · Johnston, RI

NPI number 1851434070 Active

Practice location

1740 Atwood Ave
Johnston, RI 02919-3214

Fax (401) 233-9898

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDENO2364 (RI)

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.

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About NPI 1851434070

Gregory S. Theberge, DDS's National Provider Identifier is 1851434070, issued on Feb 15, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Johnston, RI. The record was last updated on Jul 8, 2007.