Bedford Commons Periodontics PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

1308 Issued in NH

Legal business name

BEDFORD COMMONS PERIODONTICS PA

Practice address

303 Riverway PL
Bedford, NH 03110-6744

Phone

(603) 623-6639

Fax

(603) 644-5398

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Charles Douglas Neal, DMD

Title

Periodontist

Phone

(603) 623-6639

Specialties & licenses 1

Addresses

Other names 1

• Charles D Neal DMD PA Former legal business name

Locations

Practitioners 1

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

• Michael David Neal, DMD

  • Periodontics
  • Bedford, NH
  • NPI 1447318746
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205852340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106744",
            "telephone_number": "603-623-6639",
            "fax_number": "603-644-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106744",
            "telephone_number": "603-623-6639",
            "fax_number": "603-644-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD COMMONS PERIODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "603-623-6639",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles D Neal DMD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bedford Ambulatory Surgical Center, LLC
• Bedford Ambulatory Surgical Center, LLC
• Bedford Center for Prosthodontics
• Bedford Commons Dental PLLC
• Bedford Commons OB GYN PA
• Bedford Cosmetic & Restorative Dentistry LLC
• Bedford Dental Care
• Bedford Dental Center PC
• Bedford Endodontics
• Bedford Family Therapy

• Periodontics in Bedford, NH
• Providers in Bedford, NH by specialty
• Periodontics in New Hampshire

• 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.