Organization Active NPI

Hudson Dental Assoc PA

  • Dentist
  • Hudson, NH
National Provider Identifier
1013028596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
NH2001 Issued in NH
Legal business name
HUDSON DENTAL ASSOC PA
Practice address
5 George St
Hudson, NH 03051
Phone
(603) 889-8499
Fax
(603) 889-2199
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William L Gagnon, DMD
Title
Senior President
Phone
(603) 889-8499

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X NH2001 NH Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X NH3314 NH
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X NH3421 NH

Addresses

Primary practice location

5 George St
Hudson, NH 03051

Mailing address

5 George St
Hudson, NH 03051
Phone (603) 889-8499

National Provider Directory

National Provider Directory

Locations

5 George St
Hudson, NH 03051
Phone (603) 598-0729

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013028596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GEORGE ST",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "03051",
            "telephone_number": "603-889-8499",
            "fax_number": "603-889-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GEORGE ST",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "03051",
            "telephone_number": "603-889-8499",
            "fax_number": "603-889-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON DENTAL ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR PRESIDENT",
        "authorized_official_telephone_number": "603-889-8499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "NH2001",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "NH3314",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "NH3421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.