DANIEL H DE TOLLA, D.D.S., M.D., PA; NPI #1962620229

Contact Information

DANIEL H DE TOLLA, D.D.S., M.D., PA

200 GRIFFIN ROAD
SUITE 8
PORTSMOUTH, NH 03801

Phone: 603-436-3608
Fax: 603-436-3646
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for DANIEL H DE TOLLA, D.D.S., M.D., PA

NPI # 1962620229

LBN Legal business name DANIEL H DE TOLLA, D.D.S., M.D., PA

Authorized official DANIEL DE TOLLA - (ORAL SURGEON)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/23/2007

Last updated 09/08/2009 - About 17 years ago

Identifiers

License #

3472

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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