Coos County Family Health Services
Organization Active NPI General Practice Dentistry · Berlin, NH
NPI 1003019837 · NPPES record last updated Nov 17, 2016
Key facts
- NPI
- 1003019837
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1275 (NH)
- Legal business name
- COOS COUNTY FAMILY HEALTH SERVICES
- Practice address
- 73 Main Street
Berlin, NH 03570 - Phone
- (603) 752-2424
- Fax
- (603) 752-2436
- NPI assigned
- Jun 8, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- COOS COUNTY FAMILY HEALTH SERVICES
Authorized official
- Name
- Kenneth Gordon
- Title
- Ceo
- Phone
- (603) 752-3669
Practitioners 5
-
Kexin Ding, DDS
-
Sayali Gawand, DMD
-
Roland D Montminy, DDS
National Provider Directory
- Part of
- Coos County Family Health Services Inc
Locations
133 Pleasant St
Berlin, NH 03570
Phone (603) 752-2040
73 Main St
Berlin, NH 03570
Phone (603) 752-2040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 04258 | NH | |
| General Practice Dentistry |
1223G0001X | 1275 | NH | Yes |
| General Practice Dentistry |
1223G0001X | 01275 | NH |
Addresses
Primary practice location
73 Main Street
Berlin, NH 03570
Mailing address
133 Pleasant Street
Berlin, NH 03570
Phone (603) 752-2040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30301511 | Medicaid | NH |
Other providers in Berlin, NH
- City of Berlin
- Brenda Sue Cole Bergeron
- Barbara Ellen Coman
- Donna L Comire
- Michael Stephen Comisac III
- Coos County Family Health Services, Inc
- Coos County Family Health Services, Inc
- Coos County Family Health Services, Inc.
- Coos County Nursing Home
- Coos North Country Radiology P.L.L.C.
All providers in Berlin, NH · General Practice Dentistry in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.