Bourdeau, Peter Armand
Bourdeau, Peter Armand is an sole proprietor health care provider with primary practice located at 469 Centerville Rd Suite # 107, Warwick RI 02886-4354. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bourdeau, Peter Armand can be contacted via phone (401) 739-2345.Contact Information
Primary practice address
469 Centerville Rd Suite # 107
Warwick RI 02886-4354
Phone: (401) 739-2345
Fax: (401) 739-2578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DEN01704 | Rhode Island |
Profile Details
| NPI number | 1053447193 |
|---|---|
| LBN Legal business name | Bourdeau, Peter Armand |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053447193 | NPPES |
| Rhode Island | Other | 8970-6 | BLUE CROSS DENTAL INS. |
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