IndividualActive
Agnieszka Shanahan, DMD
NPI 1659692028 · Dentist · Worcester, MA
Provider details
- NPI number
- 1659692028
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN1855392 (MA)
Specialties & taxonomies
Dental Providers
Practice location
123 Newton Ave N
Worcester, MA 01609-1403
Phone: (774) 239-7205
Approximate (ZIP-level) locationGet directions
Mailing address
1116 Main St
Holden, MA 01520-1247
Registry dates
- Enumerated
- 2010-06-18
- Last updated
- 2010-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.