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NPI Code Detail

MEDICARE: SCOTT B. KLIMAJ, DMD

MEDICARE: SCOTT B. KLIMAJ, DMD
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
11223G0001XGeneral Practice Dentistry2653RI

General Provider Information

NPI Number : 1396853313
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOTT B. KLIMAJ, DMD
Provider Business Mailing Address
First Line : 1 GARNETT LN
Second Line : SUITE 8
City : GREENVILLE
State : RI
Zip : 02828-1414
Country : US
Telephone Number : 401-949-3200
Fax Number : 401-949-5213
Provider Business Practice Location Address
First Line : 1 GARNETT LN
Second Line : SUITE 8
City : GREENVILLE
State : RI
Zip : 02828-1414
Country : US
Telephone Number : 401-949-3200
Fax Number : 401-949-5213
Authorized Official
Title or Position : OWNER
Name : DR. SCOTT KLIMAJ
Credential : DMD
Telephone Number : 401-949-3200
Provider Enumeration Date : 08/29/2006
Last Update Date : 08/04/2008

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