MEDICARE: JEAN RESNEVIC, DMD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1164809273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEAN RESNEVIC, DMD, LLC

Provider Business Mailing Address
First Line	:	595 PUTNAM PIKE
Second Line	:
City	:	GREENVILLE
State	:	RI
Zip	:	02828-2137
Country	:	US
Telephone Number	:	401-949-8160
Fax Number	:	401-949-8163

Provider Business Practice Location Address
First Line	:	595 PUTNAM PIKE
Second Line	:
City	:	GREENVILLE
State	:	RI
Zip	:	02828-2137
Country	:	US
Telephone Number	:	401-949-8160
Fax Number	:	401-949-8163

Authorized Official
Title or Position	:	OWNER
Name	:	JEAN RESNEVIC
Credential	:	DMD
Telephone Number	:	512-745-4591

Provider Enumeration Date	:	04/28/2015
Last Update Date	:	04/28/2015

Similar Medicare Providers

1417911330 — DR. DEREK E HATHAWAY DMD
Practice Location Address:

595 PUTNAM PIKE
GREENVILLE, RI
02828-2137

Practice Phone: 401-949-1420
Practice Fax:

1326005463 — DR. PAUL E OSENKOWSKI D.D.S.
Practice Location Address:

595 PUTNAM PIKE
GREENVILLE, RI
02828-2137

Practice Phone: 401-949-1420
Practice Fax: 401-949-5494

1295867661 — TOWN OF SMITHFIELD
Practice Location Address:

607 PUTNAM PIKE
GREENVILLE, RI
02828-2137

Practice Phone: 401-233-1000
Practice Fax:

1063649549 — DISTINCTIVE DENTISTRY
Practice Location Address:

595 PUTNAM PIKE
GREENVILLE, RI
02828-2137

Practice Phone: 401-949-1420
Practice Fax: 401-949-5494

1255850459 — MRS. CHERRELLE LAMIKA FERGUSON
Practice Location Address:

125 LIONS CLUB RD APT 213
GREENVILLE, SC
29617-2137

Practice Phone: 864-436-3256
Practice Fax:

1205344918 — RISING ANGELS
Practice Location Address:

125 LIONS CLUB RD APT 213
GREENVILLE, SC
29617-2137

Practice Phone: 864-436-3256
Practice Fax:

Directions to “JEAN RESNEVIC, DMD, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.