Kerri-Rae Agin, D.M.D
Individual provider Active NPI General Practice Dentistry · Woonsocket, RI
NPI 1346355815 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346355815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2563 (RI)
- Practice address
- 1413 Diamond Hill Rd
Woonsocket, RI 02895-1510 - Phone
- (401) 769-0500
- Fax
- (401) 769-0502
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2563 | RI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2563 | RI | Yes |
Addresses
Primary practice location
1413 Diamond Hill Rd
Woonsocket, RI 02895-1510
Mailing address
23 Oak Grove Blvd
North Providence, RI 02911-2608
Phone (401) 354-8336
Other providers in Woonsocket, RI
- Christopher Abhulime
- Action Based Enterprises
- Alcida Adam
- Adult Primary Care&Pulmonary Medicine PC
- Adviniacare Oakland Grove LLC
- Aging Well Inc.
- Siddharth Pravin Agrawal
- Irfan Ahmad
- Aniq Ahmed
- Mohiuddin Ahmed
All providers in Woonsocket, 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.