Exeter Pediatric Dentistry and Orthodontics, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

EXETER PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC

Practice address

40 Portsmouth Ave
Exeter, NH 03833-2106

Phone

(603) 778-0400

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Julie Judge-Proulx

Title

Director of Operations

Phone

(603) 436-2204

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Jon Jay Wendell, D.D.S.

  • Pediatric Dentistry
  • Portsmouth, NH
  • NPI 1033273842
  NPD

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1144846007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PORTSMOUTH AVE",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332106",
            "telephone_number": "603-778-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PORTSMOUTH AVE",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332106",
            "telephone_number": "603-778-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXETER PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "JUDGE-PROULX",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "603-436-2204"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mysecurepractice.com",
            "affiliation": "N",
            "address_1": "40 Portsmouth Ave",
            "city": "Exeter",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038332106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Exeter Health Resources Inc
• Exeter Healthcare,Inc
• Exeter Hospital
• Exeter Hospital
• Exeter Hospital Inc
• Exeter School District
• Exeter Spine Clinic, LLC
• Exeter Therapy Associates Inc
• Exeter Women'S Care PA
• Eyesight Ophthalmic Services PA

• Pediatric Dentistry in Exeter, NH
• Providers in Exeter, NH by specialty
• Pediatric Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.