Organization Active NPI

Montshire Endodontics PLLC

  • Dental Clinic/Center
  • Lebanon, NH
National Provider Identifier
1467669283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3182 Issued in NH
Legal business name
MONTSHIRE ENDODONTICS PLLC
Practice address
367 State Route 120
Unit B-3
Lebanon, NH 03766-1430
Phone
(603) 643-6100
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andrew BradleyNPI 1306065917
Title
President
Phone
(603) 643-6100

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
Dental Clinic/Center 261QD0000X 3182 NH Primary

Addresses

Primary practice location

367 State Route 120
Unit B-3
Lebanon, NH 03766-1430

Mailing address

367 State Route 120
Unit B-3
Lebanon, NH 03766-1430

National Provider Directory

National Provider Directory

Locations

367 State Route 120
Unit B3
Lebanon, NH 03766
Phone (603) 643-6100

Practitioners & affiliated clinicians

Practitioners 4

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467669283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 STATE ROUTE 120",
            "address_2": "UNIT B-3",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 STATE ROUTE 120",
            "address_2": "UNIT B-3",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661430",
            "telephone_number": "603-643-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTSHIRE ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-643-6100"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "3182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.