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General NPI Number Information
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NPI Number | 1912022757
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Entity Type | Organization
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Legal Business Name | ARM PRIMEAU DENTAL
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 40 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-4444
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Country | US
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Telephone | 401-737-9363
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Fax |
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Provider Business Mailing Address
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Address Line | 40 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-4444
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY MACARI
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Credential |
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Telephone | 401-737-9363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | RI 27-89
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DEN 02883
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License Number State | RI
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