Children's Dentistry of the Lakes Region, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

03570 Issued in NH

Legal business name

CHILDREN'S DENTISTRY OF THE LAKES REGION, PLLC

Practice address

369 Hounsell Ave
Unit #1
Gilford, NH 03249

Phone

(603) 527-2500

NPI assigned

Nov 12, 2010

Last updated

Nov 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Anne Kennell, DDSNPI 1275600827

Title

Dentist

Phone

(603) 527-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa A Kennell, DDS

  • General Practice Dentistry
  • Gilford, NH
  • NPI 1275600827
  NPD (past) Authorized official
• Timothy Smith, DMD

  • Pediatric Dentistry
  • Gilford, NH
  • NPI 1831447192
  NPD (past)
• Matthew Burton Smith, D.D.S.

  • Dentist
  • Soquel, CA
  • NPI 1588622435
  NPD (past)

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1285935866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 HOUNSELL AVE",
            "address_2": "UNIT #1",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "03249",
            "telephone_number": "603-527-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 HOUNSELL AVE",
            "address_2": "UNIT #1",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "03249",
            "telephone_number": "603-527-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF THE LAKES REGION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "KENNELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-527-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "03570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzann Joy Caldon, R.N., L.A.D.C
• Care & Comfort Nursing, LLC
• Caregiver Keys (Visiting Angels)
• Kimberly Jane Carlisle, R.PH.
• Stephen Jospeh Catalano, PHD
• Christopher J. Martino, D.O.
• Jeffrey A Clingman, MD
• Laurinda Costa, RDH
• CVS Manchester NH, L.L.C. (CVS Pharmacy #00863)
• Kristin Marcum Delaney, FNP-C

• Dentist in Gilford, NH
• Providers in Gilford, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.