Wellformed AI

NPI 1013926716 · live from the CMS NPI Registry

Gaetan Donald Charbonneau, DMD

Dentist in Wakefield, RI. National Provider Identifier 1013926716, active.

NPI record

NPI1013926716 Type 1 · individual
StatusActive
Primary specialtyDentist 122300000X
Practice location24 Salt Pond Rd Suite A2, South Kingstown Office Park, Wakefield, RI 02879
Practice phone401-783-4223
EnumeratedAugust 5, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist primary122300000XDEN01889 (RI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.