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Contact Information

HANOVER ROAD DENTAL HEALTH, PA
367 ROUTE 120 BLDG. D
LEBANON, NH03766
 Phone: 603-643-4362
 Fax: 603-643-4340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for HANOVER ROAD DENTAL HEALTH PA · (Female)

NPI Number 1164596227
Status Active
Credentials
Entity Individual
Enumeration date 11/20/2006
Last updated 06/02/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NH License # 2601
  • NH Medicaid 30314128
  • NH Medicaid 3071380
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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