Organization Active NPI

Windham Dental Center

  • General Practice Dentistry
  • Windham, NH
National Provider Identifier
1164558532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WINDHAM DENTAL CENTER
Practice address
25 Indian Rock Road
Suite One
Windham, NH 03087
Phone
(603) 434-0090
Fax
(603) 434-7724
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donna L Kalil, DMD
Title
Owner President
Phone
(603) 434-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NH Primary

Addresses

Primary practice location

25 Indian Rock Road
Suite One
Windham, NH 03087

Mailing address

25 Indian Rock Road
Suite One
Windham, NH 03087
Phone (603) 434-0090

National Provider Directory

National Provider Directory

Locations

25 Indian Rock Rd
Ste 1
Windham, NH 03087
Phone (603) 434-0090

Practitioners & affiliated clinicians

Practitioners 2

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164558532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 INDIAN ROCK ROAD",
            "address_2": "SUITE ONE",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "03087",
            "telephone_number": "603-434-0090",
            "fax_number": "603-434-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 INDIAN ROCK ROAD",
            "address_2": "SUITE ONE",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "03087",
            "telephone_number": "603-434-0090",
            "fax_number": "603-434-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALIL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "603-434-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.