Active NPIOrganization

Agnieszka E Shanahan, DMD, PC

Clinic/Center, Dental in Spencer, Massachusetts

NPI Number1891151072
Practice location
239 Main St, Spencer, MA 01562-1740
Fax
508-885-2025
Last updated
January 4, 2016

Agnieszka E Shanahan, DMD, PC is a healthcare organization based in Spencer, MA. Agnieszka E Shanahan, DMD, PC practices in Spencer, MA. The NPI Number for Agnieszka E Shanahan, DMD, PC is 1891151072 and holds a License No. DN1855392 (MA). The current practice location address for Agnieszka E Shanahan, DMD, PC is 239 Main St, Spencer, MA 01562-1740 and can be reached out via phone at 508-885-6956 and via fax at 508-885-2025.

Provider Profile Details

NPI Number
1891151072
Provider Name
Agnieszka E Shanahan, DMD, PC
Provider Entity Type
Organization
Address
239 Main St, Spencer, MA 01562-1740
Phone Number
508-885-6956
Fax Number
508-885-2025
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Agnieszka E Shanahan, DMD · Owner · 774-239-7205
Provider Enumeration Date
January 4, 2016
Last Update Date
January 4, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
239 Main St
Spencer, MA 01562-1740
Zip
01562-1740
Phone Number
508-885-6956
Fax Number
508-885-2025
Spencer, MA 01562Get directions →

Provider Business Mailing Address Details

Address
239 Main St
Spencer, MA 01562-1740
City
Spencer
State
MA
Zip
01562-1740
Phone Number
508-885-6956
Fax Number
508-885-2025

License Information

License Number
DN1855392
License State
MA
Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Agnieszka E Shanahan, DMD, PC?

The NPI number of Agnieszka E Shanahan, DMD, PC is 1891151072. It was assigned on January 4, 2016 and is currently active in the NPPES registry.

What is the specialty of Agnieszka E Shanahan, DMD, PC?

Agnieszka E Shanahan, DMD, PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number DN1855392.

Where does Agnieszka E Shanahan, DMD, PC practice?

The practice location is 239 Main St, Spencer, MA 01562-1740. The office can be reached at 508-885-6956 (phone) or 508-885-2025 (fax).

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 1891151072 directly on the NPPES registry website.

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