Organization Active NPI

Healthy Smiles P.a.

  • General Practice Dentistry
  • Dover, NH
National Provider Identifier
1336343979
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1215 Issued in NH
Legal business name
HEALTHY SMILES P.A.
Practice address
184 Washington St
Dover, NH 03820-3737
Phone
(603) 749-0700
NPI assigned
Jun 14, 2007
Organization subpart
Yes
Parent organization
HEALTHY SMILES P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. Ronald J. Henderson, D.D.S.NPI 1598981144
Title
President
Phone
(603) 749-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1215 NH Primary

Addresses

Primary practice location

184 Washington St
Dover, NH 03820-3737

Mailing address

184 Washington St
Dover, NH 03820-3737
Phone (603) 749-0700

National Provider Directory

National Provider Directory
Part of
Healthy Smiles PA

Locations

184 Washington St
Dover, NH 03820
Phone (603) 749-0700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1336343979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 WASHINGTON ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203737",
            "telephone_number": "603-749-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 WASHINGTON ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203737",
            "telephone_number": "603-749-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHY SMILES P.A.",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-749-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "1215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.