Organization Active NPI

North Country Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Littleton, NH
National Provider Identifier
1437355310
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3475 Issued in NH
Legal business name
NORTH COUNTRY ORAL AND MAXILLOFACIAL SURGERY
Practice address
262 Cottage St
Suite 301
Littleton, NH 03561-4143
Phone
(603) 444-0003
Fax
(603) 444-9401
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Dr. Dennis Hannon, D.D.S.
Title
Owner
Phone
(603) 444-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 3475 NH Primary

Addresses

Primary practice location

262 Cottage St
Suite 301
Littleton, NH 03561-4143

Mailing address

262 Cottage St
Suite 301
Littleton, NH 03561-4143
Phone (603) 444-0003

Other identifiers 2

IdentifierTypeStateIssuer
30308008MedicaidNH
02Y011170NH01OtherNHANTHEM

National Provider Directory

National Provider Directory

Locations

262 Cottage St
Ste 301
Littleton, NH 03561
Phone (603) 444-0003

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1437355310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 COTTAGE ST",
            "address_2": "SUITE 301",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614143",
            "telephone_number": "603-444-0003",
            "fax_number": "603-444-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 COTTAGE ST",
            "address_2": "SUITE 301",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614143",
            "telephone_number": "603-444-0003",
            "fax_number": "603-444-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-444-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "3475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30308008",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "02Y011170NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.