Organization Active NPI

Manchester Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Manchester, NH
National Provider Identifier
1467062935
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
MANCHESTER ORAL SURGERY, PLLC
Practice address
27 Sagamore St
Manchester, NH 03104-3547
Phone
(603) 622-9441
Fax
(603) 622-9738
NPI assigned
Aug 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

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

Authorized official

Name
Dr. Mark D Abel, DMD, MDNPI 1871649780
Title
Sole Member
Phone
(603) 622-9441

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

27 Sagamore St
Manchester, NH 03104-3547

Mailing address

27 Sagamore St
Manchester, NH 03104-3547
Phone (603) 622-9441

National Provider Directory

National Provider Directory

Locations

27 Sagamore St
Manchester, NH 03104
Phone (603) 622-9441

Practitioners & affiliated clinicians

Practitioners 3

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": "1596844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596844800000",
    "number": "1467062935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SAGAMORE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043547",
            "telephone_number": "603-622-9441",
            "fax_number": "603-622-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SAGAMORE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043547",
            "telephone_number": "603-622-9441",
            "fax_number": "603-622-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER ORAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A",
        "authorized_official_last_name": "ABEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "603-622-9441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 8, 2020; 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.