Healthcare Provider Details

I. General information

NPI: 1871426197
Provider Name (Legal Business Name): SANDY RODRIGUES SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 W MAIN RD
MIDDLETOWN RI
02842-6303
US

IV. Provider business mailing address

172 BLACKSTONE ST APT 1
FALL RIVER MA
02721-4122
US

V. Phone/Fax

Practice location:
  • Phone: 401-300-4405
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH90470
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH02984
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: