MEDICARE: ADVANCED CARE ENDODONTICS INC

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	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1811210024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CARE ENDODONTICS INC

Provider Business Mailing Address
First Line	:	31 KING CHARLES DR
Second Line	:
City	:	PORTSMOUTH
State	:	RI
Zip	:	02871-1365
Country	:	US
Telephone Number	:	401-293-5933
Fax Number	:	401-293-5934

Provider Business Practice Location Address
First Line	:	31 KING CHARLES DR
Second Line	:
City	:	PORTSMOUTH
State	:	RI
Zip	:	02871-1365
Country	:	US
Telephone Number	:	401-293-5933
Fax Number	:	401-293-5934

Authorized Official
Title or Position	:	OWNER /ENDODONTIST
Name	:	DR. STEVEN PINTO
Credential	:	MD
Telephone Number	:	401-293-5933

Provider Enumeration Date	:	03/03/2010
Last Update Date	:	09/23/2013

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