Ashleigh Nicole Graley, DDS
Individual provider Active NPI General Practice Dentistry · Pascoag, RI
NPI 1477048098 · NPPES record last updated Jun 26, 2018
Key facts
- NPI
- 1477048098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DEN03398 (RI)
- Practice address
- 36 Bridge Way
Pascoag, RI 02859-3131 - Phone
- (401) 285-5119
- NPI assigned
- Jun 26, 2018
- 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: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180814003681 | RI | Order and Referring Only - Dentist |
0244589927 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN03398 | RI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN03398 | RI | Yes |
Addresses
Primary practice location
36 Bridge Way
Pascoag, RI 02859-3131
Mailing address
166 Valley St Apt 6M314
Providence, RI 02909-2481
Phone (304) 276-8863
Other providers in Pascoag, RI
- Mark Dennis V Geronimo
- Bette Jean Gillerin
- Mary Louise Giovetti
- John Goddard
- Clifford I Gordon
- Harken Inc
- Marylouise Harrison
- Steven Alan Hokeness
- Kelly Elizabeth Horne
- Jennifer Turner Huff
All providers in Pascoag, 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 Jun 26, 2018. 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.