NPIMap

Organization Active NPI

Merrimack Dental PLLC

  • General Practice Dentistry
  • Bedford, NH
National Provider Identifier
1457556177
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03512 Issued in NH
Legal business name
MERRIMACK DENTAL PLLC
Doing business as
Merrimack Dental Associates
Practice address
170 South River Road
Building II Unit #4
Bedford, NH 03110
Phone
(603) 424-6131
Fax
(603) 424-3620
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Dr. Audrey Ann Herod, DMDNPI 1235252933
Title
Owner/Dentist
Phone
(603) 424-6131

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 03512 NH Primary

Addresses

Primary practice location

170 South River Road
Building II Unit #4
Bedford, NH 03110

Mailing address

P.O. Box 189
Merrimack, NH 03054
Phone (603) 424-6131

Other names 1

  • Merrimack Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

170 S River Rd
Bldg Ii
Bedford, NH 03110
Phone (603) 424-6131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1457556177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 189",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "03054",
            "telephone_number": "603-424-6131",
            "fax_number": "603-424-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SOUTH RIVER ROAD",
            "address_2": "BUILDING II UNIT #4",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-424-6131",
            "fax_number": "603-424-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "HEROD",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "603-424-6131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrimack Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.