NPI 1356070478 · live from the CMS NPI Registry
Soo In Ahn, DMD
Dentist in Warwick, RI. National Provider Identifier 1356070478, active.
NPI record
| NPI | 1356070478 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1000 Bald Hill Rd, Warwick, RI 02886 |
| Practice phone | 401-822-1866 |
| Mailing address | 31 Beach St Apt 805, Boston, MA 02111 |
| Enumerated | June 6, 2022 |
| Last updated | July 12, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | DEN03617 (RI) |
| Dentist | 122300000X | DN1859464 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.