Individual
DR. ANDREW GAZERRO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1425 MAIN ST, WEST WARWICK, RI 02893-3895
(401) 821-6766
(401) 821-6767
Mailing address
1425 MAIN ST, WEST WARWICK, RI 02893-3895
(401) 821-6766
(401) 821-6767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2598
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8741-2
BLUE CROSS PROVIDER #
RI
Enumeration date
02/16/2007
Last updated
07/08/2007
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