NPI 1831314830 · live from the CMS NPI Registry
Tracey Lynn Brennan, dmd
Dentist, General Practice in Warwick, RI. National Provider Identifier 1831314830, active.
NPI record
| NPI | 1831314830 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 708 Warwick Ave, Warwick, RI 02888 |
| Practice phone | 401-785-2111 |
| Mailing address | 48 Tea House Ln, Warwick, RI 02889 |
| Enumerated | April 16, 2007 |
| Last updated | April 20, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | den2603 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.