Active NPI
Daniel H de Tolla, D.D.S., M.D., PA
Doing business as Seacoast Dental Implant & Oral Surgery Center
- Oral and Maxillofacial Surgery (Dentist)
- Portsmouth, NH
National Provider Identifier
1316850944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- DANIEL H DE TOLLA, D.D.S., M.D., PA
- Doing business as
- Seacoast Dental Implant & Oral Surgery Center
- Practice address
- 200 Griffin Road Suite 8
Portsmouth, NH 03803-4580 - Phone
- (603) 436-3608
- NPI assigned
- Sep 24, 2026
- Last updated
- Oct 5, 2026
- Organization subpart
- Yes
- Parent organization
- DANIEL H DE TOLLA, D.D.S., M.D., PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michaela Muniz
- Title
- VP, Payor Relations
- Phone
- (469) 324-3242
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU | Primary | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | NU |
Addresses
Primary practice location
200 Griffin Road Suite 8
Portsmouth, NH 03803-4580
Mailing address
200 Griffin Road Suite 8
Portsmouth, NH 03803-4580
Phone (603) 436-3608
Other names 1
- Seacoast Dental Implant & Oral Surgery Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791158400000",
"number": "1316850944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GRIFFIN ROAD SUITE 8",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038034580",
"telephone_number": "603-436-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GRIFFIN ROAD SUITE 8",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038034580",
"telephone_number": "603-436-3608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL H DE TOLLA, D.D.S., M.D., PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DANIEL H DE TOLLA, D.D.S., M.D., PA",
"enumeration_date": "2026-09-24",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A",
"authorized_official_last_name": "MUNIZ",
"authorized_official_first_name": "MICHAELA",
"authorized_official_title_or_position": "VP, PAYOR RELATIONS",
"authorized_official_telephone_number": "469-324-3242"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Seacoast Dental Implant & Oral Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.