Organization Active NPI

Seacoast Endodontic Associates, P.a.

  • Endodontics
  • Dover, NH
National Provider Identifier
1073731733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
1366 Issued in NH
Legal business name
SEACOAST ENDODONTIC ASSOCIATES, P.A.
Practice address
113 New Rochester Rd
Suite 3
Dover, NH 03820-8800
Phone
(603) 742-2200
Fax
(603) 742-1105
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Tucker, D.D.SNPI 1871517136
Title
President
Phone
(603) 742-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 1366 NH Primary

Addresses

Primary practice location

113 New Rochester Rd
Suite 3
Dover, NH 03820-8800

Mailing address

113 New Rochester Rd
Suite 3
Dover, NH 03820-8800
Phone (603) 742-2200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073731733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NEW ROCHESTER RD",
            "address_2": "SUITE 3",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038208800",
            "telephone_number": "603-742-2200",
            "fax_number": "603-742-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NEW ROCHESTER RD",
            "address_2": "SUITE 3",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038208800",
            "telephone_number": "603-742-2200",
            "fax_number": "603-742-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST ENDODONTIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-742-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NH",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.