Windham Dental Group, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WINDHAM DENTAL GROUP, PLLC

Practice address

115 Indian Rock Rd
Windham, NH 03087-2012

Phone

(603) 893-3891

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Young K Son, DMD

Title

Owner

Phone

(603) 893-3891

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Richard A. Workman, D.M.D.

  • Dentist
  • Windham, NH
  • NPI 1215972971
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1245701432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 INDIAN ROCK RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872012",
            "telephone_number": "603-893-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 INDIAN ROCK RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872012",
            "telephone_number": "603-893-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-893-3891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Wester, OTR
• Kimberly A Wilkinson, REGISTERED NURSE
• Corey David Williams
• Donna Willis
• Windham Dental Center
• Windham Family Eye Care PLLC
• Windham Kids Pediatric Dentistry, PLLC
• Windham School District
• Kathleen M Wood Bacon, LICSW
• Maureen Woodard, MS OTR/L

• Dental Clinic/Center in Windham, NH
• Providers in Windham, NH by specialty
• Dental Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.