Richard Albert Mitchell, D.M.D.
Individual provider Active NPI General Practice Dentistry · Gorham, NH
NPI 1295751675 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295751675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 03582 (NH)
- Practice address
- 22 Exchange St
Gorham, NH 03581-1604 - Phone
- (603) 466-5015
- Fax
- (603) 466-5791
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03582 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul C Schoenbeck, DMD., PA | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 03582 | NH | Yes |
Addresses
Primary practice location
22 Exchange St
Gorham, NH 03581-1604
Mailing address
22 Exchange St
Gorham, NH 03581-1604
Phone (603) 466-5015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88736 | Other | RI | RI BLUE CROSS BLUE SHIELD |
Other providers in Gorham, NH
- Julie Kaye Limmer
- Matthew Thomas Marallo
- John McDowell
- Alice McLane
- Milan School District
- Lorraine S Mushacke
- Amy Beth Page
- Paul C Schoenbeck, DMD., PA
- Ahmad Bin Rashid
- Rite Aid of New Hampshire Inc
All providers in Gorham, NH · General Practice Dentistry in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.