Active NPI
Dave C Pak DMD MD PA
- Oral and Maxillofacial Surgery Clinic/Center
- Rochester, NH
National Provider Identifier
1043452923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- 03699
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.