NPIMap

Organization Active NPI

Garrison Dental Group, PLLC

  • Dental Clinic/Center
  • Dover, NH
National Provider Identifier
1497414700
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GARRISON DENTAL GROUP, PLLC
Practice address
801 Central Ave Ste 4
Dover, NH 03820-2529
Phone
(603) 742-8844
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Gregory Fredette, DMDNPI 1326309964
Title
Owner
Phone
(603) 312-0075

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 Primary

Addresses

Primary practice location

801 Central Ave Ste 4
Dover, NH 03820-2529

Mailing address

801 Central Ave Ste 4
Dover, NH 03820-2529
Phone (603) 742-8844

Other names 1

  • Garrison Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

801 Central Ave
Ste 4
Dover, NH 03820
Phone (603) 742-8844

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": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1497414700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CENTRAL AVE STE 4",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202529",
            "telephone_number": "603-742-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CENTRAL AVE STE 4",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202529",
            "telephone_number": "603-742-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "FREDETTE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-312-0075",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garrison Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.