MEDICARE: DONNA M HAGERTY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2300	RI

General Provider Information

NPI Number	:	1417915232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA M HAGERTY DDS

Provider Business Mailing Address
First Line	:	24 SALT POND RD
Second Line	:	SUITE E3
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-4314
Country	:	US
Telephone Number	:	401-783-4929
Fax Number	:	401-792-8568

Provider Business Practice Location Address
First Line	:	24 SALT POND RD
Second Line	:	SUITE E3
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-4314
Country	:	US
Telephone Number	:	401-783-4929
Fax Number	:	401-792-8568

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1164509238 — MRS. NANCY LITTLEJOHN HIMMEL LMFT
Practice Location Address:

24 SALT POND RD
WAKEFIELD, RI
02879-4314

Practice Phone: 401-932-3345
Practice Fax:

1366441388 — DR. FRANK ALBERT DEQUATTRO D.M.D.
Practice Location Address:

24 SALT POND RD , SUITE C1
WAKEFIELD, RI
02879-4314

Practice Phone: 401-783-9890
Practice Fax:

1437124328 — GERALD R ROUSSEAU PT
Practice Location Address:

24 SALT POND RD , H-5
WAKEFIELD, RI
02879-4314

Practice Phone: 401-792-8500
Practice Fax: 401-792-8877

1508828088 — FRANK A. DEQUATTRO, DMD
Practice Location Address:

24 SALT POND RD , SUITE C1
WAKEFIELD, RI
02879-4314

Practice Phone: 401-783-9890
Practice Fax:

1700848579 — DR. SUSAN SABOL PSY.D.
Practice Location Address:

24 SALT POND RD , SUITE B-4
WAKEFIELD, RI
02879-4314

Practice Phone: 401-783-1310
Practice Fax: 401-783-7596

1972566644 — DR. JAMES MCCORMICK DPM
Practice Location Address:

24 SALT POND RD , UNIT E1
WAKEFIELD, RI
02879-4314

Practice Phone: 401-783-2424
Practice Fax: 401-789-2095

Directions to “ DONNA M HAGERTY DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.