Provider Demographics
NPI:1588695316
Name:CENTRAL NEW HAMPSHIRE ORAL SURGERY, PA
Entity type:Organization
Organization Name:CENTRAL NEW HAMPSHIRE ORAL SURGERY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-228-9050
Mailing Address - Street 1:187 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5020
Mailing Address - Country:US
Mailing Address - Phone:603-228-9050
Mailing Address - Fax:603-229-0237
Practice Address - Street 1:187 N STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5020
Practice Address - Country:US
Practice Address - Phone:603-228-9050
Practice Address - Fax:603-229-0237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty