Active NPI
Jeanine M McDonald, DDS
- General Practice Dentistry
- Hanover, NH
National Provider Identifier
1346450210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3883
- Practice address
- 71 Lyme Rd
Hanover, NH 03755-1253 - Phone
- (509) 868-7785
- Fax
- (603) 643-0241
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3883 | NH | Primary |
Addresses
Primary practice location
71 Lyme Rd
Hanover, NH 03755-1253
Mailing address
642 Hanover Center Rd Ste 2
Hanover, NH 03755-4921
Phone (509) 868-7785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3883 | NH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Valley Dental Sleep Center, PLLC | Current | Accepting new patients | |
| McDonald & Melkers, DDS | General Practice | Past | Accepting new patients |
| McWilliams and Wonsavage Dentistry Partnership | General Practice | Past | Accepting new patients |
Locations
71 Lyme Rd
Hanover, NH 03755
Phone (509) 868-7785
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Hanover, NH
- NPI 1699462333
-
- General Practice Dentistry
- Spokane Valley, WA
- NPI 1679792691
-
- General Practice Dentistry
- Hanover, NH
- NPI 1376712828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1346450210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 HANOVER CENTER RD STE 2",
"city": "HANOVER",
"state": "NH",
"postal_code": "037554921",
"telephone_number": "509-868-7785",
"fax_number": "603-643-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 LYME RD",
"city": "HANOVER",
"state": "NH",
"postal_code": "037551253",
"telephone_number": "509-868-7785",
"fax_number": "603-643-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JEANINE",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "3883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.