Simple Kumar

Individual provider Active NPI General Practice Dentistry · Epping, NH

NPI 1427465137 · NPPES record last updated Jul 14, 2014

Key facts

NPI
1427465137
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
04066 (NH)
Practice address
17 Fresh River Rd
Epping, NH 03042-2222
Phone
(603) 734-5157
NPI assigned
Jul 14, 2014
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
04066NHMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 04066 NH Yes

Addresses

Primary practice location

17 Fresh River Rd
Epping, NH 03042-2222

Mailing address

25 Royal Crest Dr Apt 6
Nashua, NH 03060-6715

Other providers in Epping, NH

All providers in Epping, NH · General Practice Dentistry in New Hampshire

Sources for this page

Verify at the official NPI Registry.