Dr Eugene M Kruysman
Organization Active NPI Dental Clinic/Center · Berlin, NH
NPI 1083884076 · NPPES record last updated Mar 5, 2008
Key facts
- NPI
- 1083884076
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 1624 (NH)
- Legal business name
- DR EUGENE M KRUYSMAN
- Practice address
- 301 Pleasant St
Berlin, NH 03570-2046 - Phone
- (603) 752-2013
- NPI assigned
- Mar 5, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Eugene M Kruysman, DMD
- Title
- Owner
- Phone
- (603) 752-2013
Practitioners 1
-
Eugene M Kruysman, DMD
National Provider Directory
Locations
301 Pleasant St
Berlin, NH 03570
Phone (603) 752-2013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 1624 | NH | Yes |
Addresses
Primary practice location
301 Pleasant St
Berlin, NH 03570-2046
Mailing address
301 Pleasant St
Berlin, NH 03570-2046
Phone (603) 752-2013
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30314193 | Medicaid | NH |
Other providers in Berlin, NH
- Kexin Ding
- Roxanne Dodge
- Kristina Donoho
- Stephanie W Doster
- Mary Lou Douin
- Stephen Anthony Druke
- Kelly Marie Dube
- Lisa Duchesne
- Amanda Dustin
- Nicole Eastman
All providers in Berlin, NH · Dental Clinic/Center in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2008. 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.