Active NPI
Shauna L.Gauthier DMD PLLC
- Oral and Maxillofacial Surgery Clinic/Center
- Laconia, NH
National Provider Identifier
1407133234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- 03806
- Legal business name
- SHAUNA L.GAUTHIER DMD PLLC
- Practice address
- 96 High St
Laconia, NH 03246-3537 - Phone
- (603) 527-1700
- Fax
- (603) 527-1785
- NPI assigned
- Nov 8, 2011
- Last updated
- Nov 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shauna L Gauthier, DMD
- Title
- Owner
- Phone
- (603) 527-1700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | 03806 | NH | Primary |
Addresses
Primary practice location
96 High St
Laconia, NH 03246-3537
Mailing address
96 High St
Laconia, NH 03246-3537
Phone (603) 527-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30308320 | Medicaid | NH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Laconia, NH
- NPI 1528138344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320710400000",
"number": "1407133234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 HIGH ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463537",
"telephone_number": "603-527-1700",
"fax_number": "603-527-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 HIGH ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463537",
"telephone_number": "603-527-1700",
"fax_number": "603-527-1785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAUNA L.GAUTHIER DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-08",
"last_updated": "2011-11-08",
"status": "A",
"authorized_official_last_name": "GAUTHIER",
"authorized_official_first_name": "SHAUNA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-527-1700",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": "NH",
"license": "03806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30308320",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.