Paul J Dubuque, DMD
Individual provider Active NPI Dentist · Meredith, NH
NPI 1043871015 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1043871015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 04497 (NH)
- Practice address
- 173 NH Route 104 Ste a
Meredith, NH 03253-5732 - Phone
- (603) 515-4060
- Fax
- (603) 782-0868
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04497 | NH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Nick I Fleury DMD PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 04497 | NH | Yes |
Addresses
Primary practice location
173 NH Route 104 Ste a
Meredith, NH 03253-5732
Mailing address
173 NH Route 104 Ste a
Meredith, NH 03253-5732
Phone (603) 515-4060
Other providers in Meredith, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.