NPIMap

Organization Active NPI

McWilliams and Wonsavage Dentistry Partnership

  • General Practice Dentistry
  • Hanover, NH
National Provider Identifier
1376712828
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1677 Issued in NH
Legal business name
MCWILLIAMS AND WONSAVAGE DENTISTRY PARTNERSHIP
Practice address
71 Lyme Rd
Hanover, NH 03755-1253
Phone
(603) 643-3104
Fax
(603) 643-0241
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Roger W McWilliams, D.M.D., PH.D.NPI 1164422721
Title
Partner
Phone
(603) 643-3104

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 1677 NH Primary

Addresses

Primary practice location

71 Lyme Rd
Hanover, NH 03755-1253

Mailing address

71 Lyme Rd
Hanover, NH 03755-1253
Phone (603) 643-3104

Other names 1

  • Lyme Road Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1376712828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 LYME RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551253",
            "telephone_number": "603-643-3104",
            "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": "603-643-3104",
            "fax_number": "603-643-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCWILLIAMS AND WONSAVAGE DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "603-643-3104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "1677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyme Road Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 28, 2008; 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.