NPI 1184134686 · live from the CMS NPI Registry
Carol Bongiovanni, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Wakefield, RI. National Provider Identifier 1184134686, active.
NPI record
| NPI | 1184134686 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 24 Salt Pond Rd, Wakefield, RI 02879 |
| Practice phone | 401-783-9890 |
| Mailing address | 232 Taylor Rd, Portsmouth, RI 02871 |
| Enumerated | October 10, 2017 |
| Last updated | October 10, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DEN02692 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.