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CAPITOL CENTER FOR ORAL MAXILLOFACIAL SURGERY PLLC
Oral & Maxillofacial Surgery

NPI Profile for CAPITOL CENTER FOR ORAL MAXILLOFACIAL SURGERY PLLC in PETERBOROUGH, NH.

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Contact Information

CAPITOL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PLLC
129 WILTON RD
SUITE B
PETERBOROUGH, NH  03458-1749
 Phone: 603-784-5447
 Fax: 603-784-5449
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

 204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CAPITOL CENTER FOR ORAL MAXILLOFACIAL SURGERY PLLC · (Female)

NPI Number 1316151798
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2007
Last updated 08/14/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NH License # 3188
  • NH Medicaid 30314308
  • NH Other 02Y002478NH02 ANTHEM
  • NH Other 2027588 CIGNA HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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