Dr Dental of Manchester PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR DENTAL OF MANCHESTER PC

Practice address

460 Elm St
Manchester, NH 03101-2701

Phone

(508) 620-4563

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Sheila Champagne

Title

Accounts Payable

Phone

(508) 620-4563

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1356854426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 CONCORD ST STE 230",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014613",
            "telephone_number": "508-620-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012701",
            "telephone_number": "508-620-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DENTAL OF MANCHESTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "ACCOUNTS PAYABLE",
        "authorized_official_telephone_number": "508-620-4563"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Downs, LCMHC
• Allison Doyle, LMFT
• Amie Lynn Doyle, NP
• Christine M. Doyle, LICSW
• Lisa Doyle, PT, MS
• Dr Munaf Mahmood PLLC
• Dr. Anthony Fusco & Associates
• Dr. Biesek PLLC
• Dr. Erica Lemoyne, PLLC
• Dr. Montanarella & Associates, PA

• Dental Clinic/Center in Manchester, NH
• Providers in Manchester, NH by specialty
• Dental Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.