Provider Demographics
NPI:1730353475
Name:ROBERTWALMEIDADDS PC
Entity type:Organization
Organization Name:ROBERTWALMEIDADDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:ALMEIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:508-399-7073
Mailing Address - Street 1:21 BROOK ST
Mailing Address - Street 2:SUITE #8
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-4500
Mailing Address - Country:US
Mailing Address - Phone:508-399-7073
Mailing Address - Fax:
Practice Address - Street 1:21 BROOK ST
Practice Address - Street 2:SUITE #8
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-4500
Practice Address - Country:US
Practice Address - Phone:508-399-7073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14374261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA14374OtherDENTAL LICENSE NUMBER
RI85780OtherDENTAL LICENSE NUMBER