Organization Active NPI

Manchester Dental PLLC

  • General Practice Dentistry
  • Manchester, NH
National Provider Identifier
1063800399
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03669 Issued in NH
Legal business name
MANCHESTER DENTAL PLLC
Practice address
26 W Webster St
Manchester, NH 03104-2912
Phone
(603) 624-4147
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Dr. Muhenad Samaan, D.M.D
Title
Owner, General Dentist
Phone
(603) 624-4147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 03669 NH Primary

Addresses

Primary practice location

26 W Webster St
Manchester, NH 03104-2912

Mailing address

26 W Webster St
Manchester, NH 03104-2912

National Provider Directory

National Provider Directory

Locations

26 W Webster St
Manchester, NH 03104
Phone (603) 624-4147

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1063800399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W WEBSTER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W WEBSTER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042912",
            "telephone_number": "603-624-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "SAMAAN",
        "authorized_official_first_name": "MUHENAD",
        "authorized_official_title_or_position": "OWNER, GENERAL DENTIST",
        "authorized_official_telephone_number": "603-624-4147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.