Dental Sleep Therapy Center of NH

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1198 Issued in NH

Legal business name

DENTAL SLEEP THERAPY CENTER OF NH

Practice address

56 John Goffe Dr
Bedford, NH 03110-6110

Phone

(603) 472-3255

Fax

(603) 472-7072

NPI assigned

Oct 15, 2010

Last updated

Oct 15, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ward F Gravel, DDS

Title

Manager

Phone

(603) 472-3255

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1003126616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 JOHN GOFFE DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106110",
            "telephone_number": "603-472-3255",
            "fax_number": "603-472-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 JOHN GOFFE DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106110",
            "telephone_number": "603-472-3255",
            "fax_number": "603-472-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP THERAPY CENTER OF NH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "GRAVEL",
        "authorized_official_first_name": "WARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-472-3255",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "1198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Demello, RD,LD
• Marie Anne Demers, COTA/L
• Lana Denaro
• Denrick L Crespi D O P C
• Dental Arts of Bedford
• Katia Deoliveira
• Nicole Derosia
• Cheri Desharnais, M.ED., OTR/L, CHT
• Desired Care Chiropractic, PLLC
• Eileen F Devine, PT

• Dental Clinic/Center in Bedford, NH
• Providers in Bedford, NH by specialty
• Dental Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.