Provider Demographics
NPI:1215735006
Name:HAUS OF DENTISTRY, PLLC
Entity type:Organization
Organization Name:HAUS OF DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHRUTI
Authorized Official - Middle Name:
Authorized Official - Last Name:APTE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:315-200-5356
Mailing Address - Street 1:14 CRICKET RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1599
Mailing Address - Country:US
Mailing Address - Phone:315-200-5356
Mailing Address - Fax:
Practice Address - Street 1:835 HANOVER ST STE 204
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-5401
Practice Address - Country:US
Practice Address - Phone:603-703-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental