Individual
JOHN F BIERNACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
175 NATE WHIPPLE HIGHWAY, SUITE 210, CUMBERLAND, RI 02864
(401) 658-2224
(401) 658-0039
Mailing address
175 NATE WHIPPLE HIGHWAY, SUITE 210, CUMBERLAND, RI 02864
(401) 658-2224
(401) 658-0039
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
012100
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
01614
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86509
BCBS
RI
01
—
X04251
BCBS
MA
Enumeration date
10/27/2006
Last updated
11/16/2016
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