Resnevic Dental, LLC

Organization Active NPI General Practice Dentistry · Chepachet, RI

NPI 1114268679 · NPPES record last updated Mar 8, 2013

Key facts

NPI
1114268679
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
1789 (RI)
Legal business name
RESNEVIC DENTAL, LLC
Practice address
895 Putnam Pike
Chepachet, RI 02814-1471
Phone
(401) 567-0500
Fax
(401) 567-9272
NPI assigned
Mar 8, 2013
Organization subpart
No

Authorized official

Name
Dr. George Resnevic, DMD
Title
Owner/Dentist
Phone
(401) 567-0500

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

895 Putnam Pike
Chepachet, RI 02814
Phone (401) 567-0500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 1789 RI Yes
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 3131 RI

Addresses

Primary practice location

895 Putnam Pike
Chepachet, RI 02814-1471

Mailing address

895 Putnam Pike
Chepachet, RI 02814-1471
Phone (401) 567-0500

Other providers in Chepachet, RI

All providers in Chepachet, RI · General Practice Dentistry in Rhode Island

Sources for this page

Verify at the official NPI Registry.