NPI 1770162984 · live from the CMS NPI Registry
Nicholas Charbonneau
Dentist, General Practice in Wakefield, RI. National Provider Identifier 1770162984, active.
NPI record
| NPI | 1770162984 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 24 Salt Pond Rd Ste A2, Wakefield, RI 02879 |
| Practice phone | 401-783-4223 |
| Enumerated | April 5, 2021 |
| Last updated | April 23, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DENO3628 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.