Pratt, Judith Abosamra
Pratt, Judith Abosamra is an individual health care provider with primary practice located at 4512 Post Rd , East Greenwich RI 02818-4124. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Pratt, Judith Abosamra can be contacted via phone (401) 884-2190.Contact Information
Primary practice address
4512 Post Rd
East Greenwich RI 02818-4124
Phone: (401) 884-2190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2529 | Rhode Island |
Profile Details
| NPI number | 1174640817 |
|---|---|
| LBN Legal business name | Pratt, Judith Abosamra |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 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 | 1174640817 | NPPES |
| Rhode Island | Other | 8165-2 | BLUE CROSS DENTAL |
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