Vaishali Agarwala, DDS MS
Individual provider Active NPI Endodontics · Fairfield, OH
NPI 1437219920 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1437219920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- 21698 (OH)
- Practice address
- 5180 Winton Rd
Fairfield, OH 45014 - Phone
- (513) 829-1935
- Fax
- (513) 829-0413
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21698 | OH | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erndt Yonchak & Agarwala DDS Ms Inc | Endodontics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 21698 | OH | Yes |
Addresses
Primary practice location
5180 Winton Rd
Fairfield, OH 45014
Mailing address
5180 Winton Rd
Fairfield, OH 45014
Phone (513) 829-1935
Other providers in Fairfield, OH
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.