Roger A Phillips, D.M.D.
Individual provider Active NPI General Practice Dentistry · Hanover, NH
NPI 1386663334 · NPPES record last updated Jun 5, 2008
Key facts
- NPI
- 1386663334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2602 (NH)
- Practice address
- 31 S Park St
Hanover, NH 03755-2131 - Phone
- (603) 643-3190
- Fax
- (603) 643-3017
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2602 | NH | Yes |
Addresses
Primary practice location
31 S Park St
Hanover, NH 03755-2131
Mailing address
31 S Park St
Hanover, NH 03755-2131
Phone (603) 643-3190
Other providers in Hanover, NH
- Paulson Chiropractic
- Tory Opal Paulson
- Claudette Peck
- Jedidiah Peterson
- Valori Petrin
- Craig A Pike I
- Janice E Pilon
- Eliza Grace Polli
- Amber L Porter
- James Robert Predmore
All providers in Hanover, NH · General Practice Dentistry in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.