Healthcare Provider Details

I. General information

NPI: 1689770638
Provider Name (Legal Business Name): ROBERT WESLEY ALMEIDA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 04/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 BROOK STREET SUITE 8
SEEKONK MA
02771
US

IV. Provider business mailing address

21 BROOK STREET SUITE 8
SEEKONK MA
02771
US

V. Phone/Fax

Practice location:
  • Phone: 508-399-7073
  • Fax: 508-399-7520
Mailing address:
  • Phone: 508-399-7073
  • Fax: 508-399-7520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number14374
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14374
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: