Precious Ettah, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04665 Issued in NH

Practice address

311 NH-108
Somersworth, NH 03878

Phone

(603) 749-2346

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1366923336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 CHESTERWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062861",
            "telephone_number": "256-529-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NH-108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "03878",
            "telephone_number": "603-749-2346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7450 Albert Rd",
            "address_purpose": "LOCATION",
            "city": "Brandywine",
            "state": "MD",
            "postal_code": "206133035",
            "country_code": "US",
            "telephone_number": "301-599-0460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6196 Oxon Hill Rd Ste 540",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453112",
            "country_code": "US",
            "telephone_number": "301-599-0460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Alabama Ave SE Rm 117",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200324540",
            "country_code": "US",
            "telephone_number": "202-299-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETTAH",
        "first_name": "PRECIOUS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16963",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maury Elsasser
• Brittney Emmons, MS, LATC, ROT, OPE-C
• Lawrence M Epstein, MD
• Roger M Epstein, M.D.
• Guy M Esposito, M.D.
• Patsy B Evans, R.D.N, LD
• Alison M Fairbairn
• Kelly Faul, APRN
• Michael Feld, ATC, CSCS
• Patricia E Fillio, LCMHC

• General Practice Dentistry in Somersworth, NH
• Providers in Somersworth, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.