NPI 1801969399 · live from the CMS NPI Registry
Jan R Cervenka, DMD
Dentist, General Practice in Warwick, RI. National Provider Identifier 1801969399, active.
NPI record
| NPI | 1801969399 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2212 Post Road, Warwick, RI 02886 |
| Practice phone | 401-737-5555 |
| Enumerated | November 15, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 2564 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.