NPIMap

Organization Active NPI

Premier Family Dentistry PLLC

  • General Practice Dentistry
  • Exeter, NH
National Provider Identifier
1104561992
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PREMIER FAMILY DENTISTRY PLLC
Practice address
42 Portsmouth Ave
Exeter, NH 03833-2106
Phone
(603) 778-8101
Fax
(603) 775-7346
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Kourosh Asha, DMDNPI 1548610983
Title
Manager
Phone
(603) 778-8101

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

42 Portsmouth Ave
Exeter, NH 03833-2106

Mailing address

42 Portsmouth Ave
Exeter, NH 03833-2106
Phone (603) 778-8101

National Provider Directory

National Provider Directory

Locations

42 Portsmouth Ave
Exeter, NH 03833
Phone (603) 778-8101

Practitioners & affiliated clinicians

Practitioners 3

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": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1104561992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PORTSMOUTH AVE",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332106",
            "telephone_number": "603-778-8101",
            "fax_number": "603-775-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PORTSMOUTH AVE",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332106",
            "telephone_number": "603-778-8101",
            "fax_number": "603-775-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "ASHA",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-778-8101",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.