NPI 1346355815 · live from the CMS NPI Registry
Kerri-Rae Agin, D.M.D
Dentist, General Practice in Woonsocket, RI. National Provider Identifier 1346355815, active.
NPI record
| NPI | 1346355815 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1413 Diamond Hill Rd, Woonsocket, RI 02895 |
| Practice phone | 401-769-0500 |
| Mailing address | 23 Oak Grove Blvd, North Providence, RI 02911 |
| Enumerated | August 21, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 2563 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.