Agnieszka E Shanahan, DMD, PC
Organization Active NPI Dental Clinic/Center · Spencer, MA
NPI 1891151072 · NPPES record last updated Jan 4, 2016
Key facts
- NPI
- 1891151072
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- DN1855392 (MA)
- Legal business name
- AGNIESZKA E SHANAHAN, DMD, PC
- Practice address
- 239 Main St
Spencer, MA 01562-1740 - Phone
- (508) 885-6956
- Fax
- (508) 885-2025
- NPI assigned
- Jan 4, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Agnieszka E Shanahan, DMD
- Title
- Owner
- Phone
- (774) 239-7205
Practitioners 1
-
Kevin Patrick Grace, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DN1855392 | MA | Yes |
Addresses
Primary practice location
239 Main St
Spencer, MA 01562-1740
Mailing address
239 Main St
Spencer, MA 01562-1740
Phone (508) 885-6956
Other providers in Spencer, MA
- Aart Dental PC
- Sara Ann Almy
- Jennifer Altman
- Christina Marie Aungst
- Autism Therapists and Consultants
- Autism1On1
All providers in Spencer, MA · Dental Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2016. 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.