Jonathan C Palazzo DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3381 Issued in NH

Legal business name

JONATHAN C PALAZZO DMD PLLC

Practice address

1140 Somerville St
Manchester, NH 03103-2847

Phone

(603) 624-4313

NPI assigned

Jan 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan C Palazzo, DMDNPI 1154456184

Title

Manager/Owner

Phone

(603) 624-4313

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Jonathan Charles Palazzo, DMD

  • General Practice Dentistry
  • Manchester, NH
  • NPI 1154456184
  NPD (past) Authorized official
• Norman Henry Proulx, D.D.S.

  • General Practice Dentistry
  • Manchester, NH
  • NPI 1932244118
  NPD (past)

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1265679146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SOMERVILLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032847",
            "telephone_number": "603-624-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SOMERVILLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032847",
            "telephone_number": "603-624-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN C PALAZZO DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "603-624-4313",
        "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": "3381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30302720",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E Johnson, MD
• Tara Johnson
• Thomas Bryan Johnson, MD
• Alexis Deshae Johnston
• Bobbie-Jo M. Johnstone, APRN
• Alexander Michael Jones, D.O.
• Heather Jones
• Jacklyn Ruth Jones, MS
• Jessica Jones, BA
• Lisa Jones, BA

• General Practice Dentistry in Manchester, NH
• Providers in Manchester, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.