Roque, Paul G.
Roque, Paul G. is an sole proprietor health care provider with primary practice located at 642 Newport Ave , Pawtucket RI 02861-3238. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roque, Paul G. can be contacted via phone (401) 722-3757.Contact Information
Primary practice address
642 Newport Ave
Pawtucket RI 02861-3238
Phone: (401) 722-3757
Fax: (401) 722-3757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | RI 2126 | Rhode Island |
Profile Details
| NPI number | 1114076817 |
|---|---|
| LBN Legal business name | Roque, Paul G. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 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 | 1114076817 | NPPES |
| Rhode Island | MEDICAID | PR00814 |
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