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LEBANON DENTAL CENTRE NPI 1972707651


NPI Information

NPI: 1972707651
Provider Name: LEBANON DENTAL CENTRE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
31 OLD ETNA RD
SUITE 4
LEBANON, NH
ZIP 03766
Phone: (603) 448-2100
Get Directions

LEBANON DENTAL CENTRE is a general practice dentist in Lebanon, NH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LEBANON DENTAL CENTRE NPI is 1972707651. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31 OLD ETNA RD
SUITE 4
LEBANON, NH
ZIP 03766-933
Phone: (603) 448-2100
Fax: (603) 443-9958

The provider's authorized official is Angelina Santa Maria .
The authorized official title is Administrator and has the following contact phone number (603) 448-2100.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice3516NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11003969023OTHERNPI
21114950607OTHERCONNECTICUTNPI
330314064MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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