NPIMap

Lifetime Dental Professionals of New Hampshire, P.C.

Organization Active NPI General Practice Dentistry · Epping, NH

NPI 1124439641 · NPPES record last updated May 19, 2014

Key facts

NPI
1124439641
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
LIFETIME DENTAL PROFESSIONALS OF NEW HAMPSHIRE, P.C.
Practice address
5 Jannell Court
Epping, NH 03042
Phone
(603) 679-4300
Fax
(603) 679-9872
NPI assigned
May 19, 2014
Organization subpart
Yes
Parent organization (as reported)
LIFETIME DENTAL PROFESSIONALS OF NEW HAMPSHIRE, P.C.

Authorized official

Name
Kim Wilson
Title
Cred Supervisor
Phone
(217) 540-5170

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

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

National Provider Directory

Tax ID family
Lifetime Dental Professionals of New Hampshire PC (5 organizations share this tax ID)
Part of
Lifetime Dental Professionals of New Hampshire PC

Locations

5 Jannell Ct
Epping, NH 03042
Phone (603) 679-4300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

5 Jannell Court
Epping, NH 03042

Mailing address

5 Jannell Court
Epping, NH 03042
Phone (603) 679-4300

Other names

  • Rockingham Dental Doing business as

Other providers in Epping, NH

All providers in Epping, NH · General Practice Dentistry in New Hampshire

Sources for this page

Verify at the official NPI Registry.