Active NPIIndividual providerSole proprietor

Dr. Kevin T Bagnall, DDS

Dentist, General Practice in Andover, Massachusetts

NPI Number1598794224
Practice location
16 Haverhill St, Andover, MA 01810-3002
Fax
—
Last updated
July 8, 2007

Kevin Thomas Bagnall is a Dentist, General Practice based in Andover, MA. Kevin Thomas Bagnall practices in Andover, MA and has the professional credentials of DDS. The NPI Number for Kevin Thomas Bagnall is 1598794224 and holds a License No. 15888 (MA). The current practice location address for Kevin Thomas Bagnall is 16 Haverhill St, Andover, MA 01810-3002 and can be reached out via phone at 978-475-3997.

Provider Profile Details

NPI Number
1598794224
Provider Name
Kevin Thomas Bagnall
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
16 Haverhill St, Andover, MA 01810-3002
Phone Number
978-475-3997
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Haverhill St
Andover, MA 01810-3002
Zip
01810-3002
Phone Number
978-475-3997
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
7 Kathleen Dr
Andover, MA 01810-1901
City
Andover
State
MA
Zip
01810-1901
Phone Number
978-475-3224

License Information

License Number
15888
License State
MA
Taxonomy
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. Kevin T Bagnall, DDS?

The NPI number of Dr. Kevin T Bagnall, DDS is 1598794224. It was assigned on July 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin T Bagnall, DDS?

Dr. Kevin T Bagnall, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 15888.

Where does Dr. Kevin T Bagnall, DDS practice?

The practice location is 16 Haverhill St, Andover, MA 01810-3002. The office can be reached at 978-475-3997 (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 1598794224 directly on the NPPES registry website.

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