NPI 1376103754 · live from the CMS NPI Registry
Nicolette Justine Angioli, DMD
Dentist in Charlestown, RI. National Provider Identifier 1376103754, active.
NPI record
| NPI | 1376103754 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 4995 S County Trl, Charlestown, RI 02813 |
| Practice phone | 518-231-9657 |
| Enumerated | June 18, 2019 |
| Last updated | June 18, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | DEN03458 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.