Organization Active NPI

Judley Alphonse DMD PLLC

Doing business as Skaperdas Dental

  • General Practice Dentistry
  • Manchester, NH
National Provider Identifier
1417717034
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JUDLEY ALPHONSE DMD PLLC
Doing business as
Skaperdas Dental
Practice address
101 Webster St
Manchester, NH 03104-2508
Phone
(603) 668-0244
Fax
(603) 623-8941
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Judley Alphonse, DMD
Title
Manager
Phone
(603) 668-0244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

101 Webster St
Manchester, NH 03104-2508

Mailing address

101 Webster St
Manchester, NH 03104-2508
Phone (603) 668-0244

Other names 1

  • Skaperdas Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1417717034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WEBSTER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042508",
            "telephone_number": "603-668-0244",
            "fax_number": "603-623-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEBSTER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042508",
            "telephone_number": "603-668-0244",
            "fax_number": "603-623-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDLEY ALPHONSE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "ALPHONSE",
        "authorized_official_first_name": "JUDLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-668-0244",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skaperdas Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.