Healthcare Provider Details

I. General information

NPI: 1518071042
Provider Name (Legal Business Name): DENISE A. SLOANE D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 VICTORY HWY
SLATERSVILLE RI
02876-0130
US

IV. Provider business mailing address

PO BOX 130
SLATERSVILLE RI
02876-0130
US

V. Phone/Fax

Practice location:
  • Phone: 401-766-2800
  • Fax: 401-765-2858
Mailing address:
  • Phone: 401-766-2800
  • Fax: 401-765-2828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN02313
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: