Plymouth Dentistry & Implants, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PLYMOUTH DENTISTRY & IMPLANTS, PLLC

Practice address

2 Main St
Plymouth, NH 03264-1439

Phone

(603) 536-1445

NPI assigned

Aug 1, 2017

Organization subpart

No

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

Authorized official

Name

Angelina Blankschen

Title

Adminsitrator

Phone

(860) 997-0569

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joan Eversole, DMD

  • General Practice Dentistry
  • Plymouth, NH
  • NPI 1942426317
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1013431097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641439",
            "telephone_number": "603-536-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH DENTISTRY & IMPLANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "BLANKSCHEN",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "ADMINSITRATOR",
        "authorized_official_telephone_number": "860-997-0569"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074071",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinewood Professionals, LLC
• Play to Learn OT Services, LLC
• Plymouth Area Recovery Connection
• Plymouth Chiropractic
• Plymouth Dental Group, PLLC
• Plymouth Family Practice Center
• Plymouth General Dentistry, PLLC
• Plymouth General Dentistry, PLLC
• Plymouth Optical
• Plymouth School District

• General Practice Dentistry in Plymouth, NH
• Providers in Plymouth, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.