Premier Dental Group PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PREMIER DENTAL GROUP PC

Doing business as

Premier Dental Group, PC

Practice address

1800 Woodbury Ave
Portsmouth, NH 03801-3238

Phone

(603) 436-8822

Fax

(603) 431-3948

NPI assigned

Jan 24, 2022

Last updated

Jan 24, 2022By 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

Carrie Besen

Title

Operations Coordinator

Phone

(207) 204-4307

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental Group, PC Doing business as

Electronic endpoints 1

Practitioners 1

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.

• Byung Moo Hur, DMD

  • General Practice Dentistry
  • Portsmouth, NH
  • NPI 1669900718
  NPD (past)

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1083366785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022113",
            "telephone_number": "207-204-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WOODBURY AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013238",
            "telephone_number": "603-436-8822",
            "fax_number": "603-431-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "BESEN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "207-204-4307"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "server",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1800 Woodbury Ave",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038013238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Premier Dental Group, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Potter, NP-C
• Jennifer Pottle
• Bartholomew Poulin
• Dean Pratt
• Preferred Home Health Care & Nursing Services Inc. (Acelleron Medical Products)
• Marian Hoyt Prescott
• PRH Oncology
• PRH Oncology, LLC
• Derek Price, MSW
• Jenna Legros Price, NP

• General Practice Dentistry in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.