Roger Temple, MD
Individual provider Active NPI Specialist · Dover, NH
NPI 1447295142 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447295142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 4097 (NH)
- Practice address
- 17 Old Rollinsford Rd
Dover, NH 03820-2833 - Phone
- (603) 742-9222
- Fax
- (603) 742-9226
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4097 | NH | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dover Surgical Associates, P.a. | Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4097 | NH | Yes |
Addresses
Primary practice location
17 Old Rollinsford Rd
Dover, NH 03820-2833
Mailing address
17 Old Rollinsford Rd
Dover, NH 03820-2833
Phone (603) 742-9222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30005077 | Medicaid | NH |
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.