MEDICARE: ARTISTRY DENTAL

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	03180	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1932234200	OTHER	MA	CARING HEALTH CENTER

General Provider Information

NPI Number	:	1861834012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTISTRY DENTAL

Provider Business Mailing Address
First Line	:	795 PARK AVE
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02910-2036
Country	:	US
Telephone Number	:	401-781-2212
Fax Number	:

Provider Business Practice Location Address
First Line	:	795 PARK AVE
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02910-2036
Country	:	US
Telephone Number	:	401-781-2212
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. NEETU KAINTH
Credential	:	DMD
Telephone Number	:	781-424-4554

Provider Enumeration Date	:	07/29/2013
Last Update Date	:	07/29/2013

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Directions to “ARTISTRY DENTAL ” Practice Location

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