Hanover Oral Surgery PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

2601 Issued in NH

Legal business name

HANOVER ORAL SURGERY PLLC

Practice address

367 Route 120
Unit E-1
Lebanon, NH 03766-1430

Phone

(603) 643-1700

Fax

(603) 643-1702

NPI assigned

Mar 6, 2014

Last updated

Mar 6, 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. Terry W Bradigan, DDS

Title

Owner

Phone

(603) 643-1700

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1043636616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 ROUTE 120",
            "address_2": "UNIT E-1",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661430",
            "telephone_number": "603-643-1700",
            "fax_number": "603-643-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 ROUTE 120",
            "address_2": "UNIT E-1",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661430",
            "telephone_number": "603-643-1700",
            "fax_number": "603-643-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER ORAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "BRADIGAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-643-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "2601",
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "03746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Hanissian, M.D.
• Jonathan Zakaria Rizk Hanna, MD
• Matthew Hanna, MD
• Hannah House, Inc
• Nicholas Hannon, MD
• Hanover Road Dental Health, PA
• Mark T Hansberry
• Taylor Marie Hansen
• Olivia Hanson, MD
• Ryan John Hanusek

• Oral and Maxillofacial Surgery Clinic/Center in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Oral and Maxillofacial Surgery Clinic/Center in New Hampshire

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