Provider Demographics
NPI:1972302834
Name:DOVETAIL DENTAL OF LONDONDERRY
Entity type:Organization
Organization Name:DOVETAIL DENTAL OF LONDONDERRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CARIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-673-6526
Mailing Address - Street 1:50 NASHUA RD STE 104
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3422
Mailing Address - Country:US
Mailing Address - Phone:603-432-2961
Mailing Address - Fax:
Practice Address - Street 1:50 NASHUA RD STE 104
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3422
Practice Address - Country:US
Practice Address - Phone:603-432-2961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental