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General NPI Number Information
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NPI Number | 1538276753
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Entity Type | Organization
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Legal Business Name | STEPHEN P CARY DMD INC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 600 WAMPANOAG TRAIL SUITE C
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City | RIVERSIDE
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State | RI
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Zip | 02915
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Country | US
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Telephone | 401-431-2180
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Fax | 401-435-3644
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Provider Business Mailing Address
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Address Line | 600 WAMPANOAG TRAIL SUITE C
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City | RIVERSIDE
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State | RI
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Zip | 02915
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Country | US
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Telephone | 401-431-2180
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Fax | 401-435-3644
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. STEPHEN P CARY
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Credential | DMD
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Telephone | 401-431-2180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1723
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License Number State | RI
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