Provider Demographics
NPI:1154525624
Name:NHOMS, PLLC
Entity type:Organization
Organization Name:NHOMS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:MOAVENIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-595-8889
Mailing Address - Street 1:33 TRAFALGAR SQ
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-4900
Mailing Address - Country:US
Mailing Address - Phone:603-595-8889
Mailing Address - Fax:
Practice Address - Street 1:33 TRAFALGAR SQ
Practice Address - Street 2:SUITE 201
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-4900
Practice Address - Country:US
Practice Address - Phone:603-595-8889
Practice Address - Fax:603-595-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3216261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3216OtherDENTAL LICENSE
U86815Medicare UPIN
NH3216OtherDENTAL LICENSE