Michael Accaoui, DMD
Individual provider Active NPI Dentist · Cumberland, RI
NPI 1992373344 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1992373344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DEN03555 (RI)
- Practice address
- 3231 Mendon Rd
Cumberland, RI 02864-2459 - Phone
- (401) 685-1888
- NPI assigned
- Jun 14, 2021
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN03555 | RI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendon Dental Associates | Dentist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN03555 | RI | Yes |
Addresses
Primary practice location
3231 Mendon Rd
Cumberland, RI 02864-2459
Mailing address
3231 Mendon Rd
Cumberland, RI 02864-2459
Other providers in Cumberland, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2021. 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.