Tilton Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

3380 Issued in NH

Legal business name

TILTON FAMILY DENTAL

Practice address

468 W Main St
Tilton, NH 03276-5020

Phone

(603) 432-6430

NPI assigned

Jun 20, 2013

Organization subpart

No

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

Authorized official

Name

Nanarao Krothapalli

Title

Dentist

Phone

(603) 432-6430

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1255770475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 W MAIN ST",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 W MAIN ST",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765020",
            "telephone_number": "603-432-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILTON FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "KROTHAPALLI",
        "authorized_official_first_name": "NANARAO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-432-6430"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "3380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roland Joseph St. Onge Jr.
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• Dentist in Tilton, NH
• Providers in Tilton, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.