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Active NPI 1689244790 Individual Practitioner Male Practitioner

Dr. Kevin Timothy Eagan , DDS, MPH

Dentist • Warwick, RI

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Eagan, DDS, MPH is a registered healthcare professional specializing in Dentist in Warwick, RI. Practice services are available at 222 JEFFERSON BLVD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

222 Jefferson Blvd Ste 100

Warwick, RI 028883855

Telephone 4017365136
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Warwick, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
27 Specialists

Practicing in Warwick, RI (280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-14
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License RI 03758

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Roy Ragge , DMD

Dentist - General Practice

NPI 1184742629

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 14, 2026

Registered at 222 JEFFERSON BLVD STE 100, WARWICK, RI 028883855 (Tel: 4017365136)

📍
Updated Business Mailing Address April 14, 2026

Registered at 222 JEFFERSON BLVD STE 100, WARWICK, RI 028883855 (Tel: 4017365136)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2026

Dentist (License #03758 in RI)

📍
Updated Practice Location April 02, 2026

Registered at 222 JEFFERSON BLVD STE 103, WARWICK, RI 028883855 (Tel: 4017365136)

📍
Updated Business Mailing Address April 02, 2026

Registered at 222 JEFFERSON BLVD STE 103, WARWICK, RI 028883855 (Tel: 4017365136)

📍
Updated Practice Location September 30, 2022

Registered at 15R MECHANIC ST, FOXBORO, MA 020352046 (Tel: 5085432233)

📍
Updated Business Mailing Address September 30, 2022

Registered at 15R MECHANIC ST, FOXBORO, MA 020352046 (Tel: 5085432233)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2022

Dentist (License #DN1859499 in MA)

NPI Profile Active June 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2021

Registered at 830 CHALKSTONE AVE BLDG 2, PROVIDENCE, RI 029084734 (Tel: 4012737100)

📍
Updated Business Mailing Address June 30, 2021

Registered at 830 CHALKSTONE AVE BLDG 2, PROVIDENCE, RI 029084734 (Tel: 4012737100)

👤
Provider Name / Credentials Updated June 30, 2021

Recorded as KEVIN EAGAN, DDS, MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 30, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689244790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2021
Last Update: April 14, 2026
Sole Proprietor: No

Mailing Address

222 Jefferson Blvd Ste 100

Warwick, RI 028883855

Phone: 4017365136

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.