Active NPIIndividual providerSole proprietor

Dr. Mercedez G Agyemfra, DDS, MPH

Dentist, General Practice in Worcester, Massachusetts

NPI Number1588395131
Practice location
20 Balder RD, Worcester, MA 01605-3807
Fax
—
Last updated
January 20, 2023

Mercedez G Agyemfra is a Dentist, General Practice based in Worcester, MA. Mercedez G Agyemfra practices in Worcester, MA and has the professional credentials of DDS, MPH. The NPI Number for Mercedez G Agyemfra is 1588395131 and holds a License No. DN1859533 (MA). The current practice location address for Mercedez G Agyemfra is 20 Balder RD, Worcester, MA 01605-3807 and can be reached out via phone at 508-762-8823.

Provider Profile Details

NPI Number
1588395131
Provider Name
Mercedez G Agyemfra
Credential
DDS, MPH
Provider Entity Type
Individual
Gender
Female
Address
20 Balder RD, Worcester, MA 01605-3807
Phone Number
508-762-8823
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2022
Last Update Date
January 20, 2023
Certification Date
January 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Balder RD
Worcester, MA 01605-3807
Zip
01605-3807
Phone Number
508-762-8823
Worcester, MA 01605Get directions →

Provider Business Mailing Address Details

Address
20 Balder RD
Worcester, MA 01605-3807
City
Worcester
State
MA
Zip
01605-3807
Phone Number
508-762-8823

License Information

License Number (1)
DN1859533
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DN122858
License State (2)
GA
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mercedez G Agyemfra, DDS, MPH?

The NPI number of Dr. Mercedez G Agyemfra, DDS, MPH is 1588395131. It was assigned on June 23, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Mercedez G Agyemfra, DDS, MPH?

Dr. Mercedez G Agyemfra, DDS, MPH is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1859533.

Where does Dr. Mercedez G Agyemfra, DDS, MPH practice?

The practice location is 20 Balder RD, Worcester, MA 01605-3807. The office can be reached at 508-762-8823 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588395131 directly on the NPPES registry website.

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