NPI 1801930474 · live from the CMS NPI Registry
Andrew Gazerro Iii, DMD, PC, INC.
Dentist, General Practice in West Warwick, RI. National Provider Identifier 1801930474, active.
NPI record
| NPI | 1801930474 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1425 Main St, West Warwick, RI 02893 |
| Practice phone | 401-821-6766 |
| Enumerated | February 16, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Andrew Gazerro, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 2598 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.