MEDICARE: NEETU KAINTH 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
1	1223G0001X	General Practice Dentistry	21615	MA

General Provider Information

NPI Number	:	1932234200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEETU KAINTH DMD

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	:	401-461-3408

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	:	401-461-3408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	09/21/2021

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Directions to “ NEETU KAINTH DMD” Practice Location

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