Lindsay Ciombor Brislin, D.M.D.
Individual provider Active NPI Dentist · Pawtucket, RI
NPI 1477571602 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477571602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DEN02935 (RI)
- Practice address
- 536 Central Ave
Pawtucket, RI 02861-1947 - Phone
- (401) 726-1772
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN02935 | RI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsay Ciombor Brislin | Past | Accepting new patients | |
| Ronald L. Ciombor D.D.S. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN02935 | RI | Yes |
Addresses
Primary practice location
536 Central Ave
Pawtucket, RI 02861-1947
Mailing address
51 Front St
B201
Cumberland, RI 02864-4847
Phone (508) 942-6544
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.