Provider Demographics
NPI:1134160559
Name:AQUIDNECK AESTHETIC DENTISTRY INC.
Entity type:Organization
Organization Name:AQUIDNECK AESTHETIC DENTISTRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:WINTHROP
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:401-849-3008
Mailing Address - Street 1:460 E MAIN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-7227
Mailing Address - Country:US
Mailing Address - Phone:401-849-3008
Mailing Address - Fax:401-849-3083
Practice Address - Street 1:460 E MAIN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-7227
Practice Address - Country:US
Practice Address - Phone:401-849-3008
Practice Address - Fax:401-849-3083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI024141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty