Provider Demographics
NPI:1124235510
Name:CHAD A BORER DDS, PLLC
Entity type:Organization
Organization Name:CHAD A BORER DDS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSAMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-673-0710
Mailing Address - Street 1:36 SAVAGE RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3133
Mailing Address - Country:US
Mailing Address - Phone:603-673-0710
Mailing Address - Fax:
Practice Address - Street 1:36 SAVAGE RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-3133
Practice Address - Country:US
Practice Address - Phone:603-673-0710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH35081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty