Concord Pediatric Dentistry of New London, PLLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

3561 Issued in NH

Legal business name

CONCORD PEDIATRIC DENTISTRY OF NEW LONDON, PLLC

Practice address

299 Main St.
New London, NH 03257

Phone

(603) 877-0069

NPI assigned

Mar 17, 2014

Last updated

Mar 17, 2014By 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

Dr. Patrick F. Capozzi, DDS

Title

Secretary

Phone

(603) 877-0069

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1033535836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032570301",
            "telephone_number": "603-877-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 MAIN ST.",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "03257",
            "telephone_number": "603-877-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD PEDIATRIC DENTISTRY OF NEW LONDON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "CAPOZZI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "603-877-0069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NH",
            "license": "3561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Carlin, M.D.
• CL Counseling PLLC
• Christopher Lee Clemens, DMD
• Colonial Clinical Services LLC
• Concord Orthopaedics Professional Association
• Jesse Corriveau, LAT, ATC
• Counseling Associates of New London PLLC
• Maria Alexandrovna Coy, MS, LCMHC
• John Max Culp Jr., ATC
• Hope Elizabeth Damon, R.D., C.D.E., L.D.

• Point of Service in New London, NH
• Providers in New London, NH by specialty
• Point of Service in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.