Organization Active NPI

Dave C Pak DMD MD PA

  • Oral and Maxillofacial Surgery Clinic/Center
  • Rochester, NH
National Provider Identifier
1043452923
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
03699 Issued in NH
Legal business name
DAVE C PAK DMD MD PA
Practice address
123 Washington St
Rochester, NH 03839-5505
Phone
(603) 332-0818
Fax
(603) 332-1204
NPI assigned
Mar 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Dr. Dave C Pak, DMD MD
Title
Doctor/Owner
Phone
(603) 332-0818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 03699 NH Primary

Addresses

Primary practice location

123 Washington St
Rochester, NH 03839-5505

Mailing address

123 Washington St
Rochester, NH 03839-5505
Phone (603) 332-0818

National Provider Directory

National Provider Directory

Locations

123 Washington St
Rochester, NH 03867
Phone (603) 332-0818

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1043452923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WASHINGTON ST",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038395505",
            "telephone_number": "603-332-0818",
            "fax_number": "603-332-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WASHINGTON ST",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038395505",
            "telephone_number": "603-332-0818",
            "fax_number": "603-332-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE C PAK DMD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "603-332-0818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "03699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.