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Contact Information

HANOVER ORAL SURGERY PLLC
367 ROUTE 120
UNIT E-1
LEBANON, NH03766-1430
 Phone: 603-643-1700
 Fax: 603-643-1702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for HANOVER ORAL SURGERY PLLC

NPI Number 1043636616
LBN Legal business name HANOVER ORAL SURGERY PLLC
Authorized official TERRY BRADIGAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2014
Last updated 03/06/2014 - About 12 years ago
Identifiers
NH License # 03746
NH License # 2601
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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