Organization Active NPI

Bedford Dental Center PC

  • General Practice Dentistry
  • Bedford, NH
National Provider Identifier
1215196837
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3482 Issued in NH
Legal business name
BEDFORD DENTAL CENTER PC
Practice address
207 Meetinghouse Rd
Bedford, NH 03110-6090
Phone
(603) 625-2193
Fax
(603) 669-9100
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Dr. Paul J Connolly, DMD
Title
President
Phone
(603) 625-2193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3482 NH Primary

Addresses

Primary practice location

207 Meetinghouse Rd
Bedford, NH 03110-6090

Mailing address

207 Meetinghouse Rd
Bedford, NH 03110-6090
Phone (603) 625-2193

Other names 1

  • Bedford Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1215196837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MEETINGHOUSE RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106090",
            "telephone_number": "603-625-2193",
            "fax_number": "603-669-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MEETINGHOUSE RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106090",
            "telephone_number": "603-625-2193",
            "fax_number": "603-669-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-625-2193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedford Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.