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NPI Code Detail

MEDICARE: DR. SCOTT B. KLIMAJ D.M.D.

MEDICARE: DR. SCOTT B. KLIMAJ D.M.D.
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 : 1841266954
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT B. KLIMAJ D.M.D.
Provider Business Mailing Address
First Line : 250 CARPENTER RD
Second Line :
City : FOSTER
State : RI
Zip : 02825-1289
Country : US
Telephone Number : 401-647-9109
Fax Number :
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/08/2007

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