Northeast Mobile Dental Service, P.a.

Organization Active NPI General Practice Dentistry · Derry, NH

NPI 1306906052 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1306906052
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
NORTHEAST MOBILE DENTAL SERVICE, P.A.
Practice address
30 Pinkerton St
Derry, NH 03038-1504
Phone
(603) 432-5039
Fax
(603) 425-2873
NPI assigned
Dec 11, 2006
Organization subpart
No

Authorized official

Name
Dr. John Joseph Ahern, D.D.S.
Title
Treasurer
Phone
(603) 432-5039

Practitioners 8

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

30 Pinkerton St
Derry, NH 03038-1504

Mailing address

PO Box 1360
Derry, NH 03038-6360
Phone (603) 432-5039

Other providers in Derry, NH

All providers in Derry, NH · General Practice Dentistry in New Hampshire

Sources for this page

Verify at the official NPI Registry.