Melissa B Graswald, DMD
Individual provider Active NPI General Practice Dentistry · North Kingstown, RI
NPI 1235453473 · NPPES record last updated Nov 22, 2011
Key facts
- NPI
- 1235453473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DEN02716 (RI)
- Practice address
- 308 Callahan Rd
North Kingstown, RI 02852-7739 - Phone
- (401) 295-9706
- NPI assigned
- Mar 17, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625000889 | RI | Order and Referring Only - Other (Non-Physician) | 1355652769 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN02716 | RI | Yes |
Addresses
Primary practice location
308 Callahan Rd
North Kingstown, RI 02852-7739
Mailing address
12 Haliburton Rd
Rumford, RI 02916-1418
Other providers in North Kingstown, RI
- Rita F Good
- Olga Gorea
- Amanda Marie Gould
- Alyssa Goulet
- Nancy Graham
- Stephanie Marie Grecco
- Jennifer Elizabeth Griffith
- Melissa Jean Grifka
- Joseph A Grillo
- Grow Bold Psychotherapy
All providers in North Kingstown, RI · General Practice Dentistry in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.