Northwood Family Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1857 Issued in NH

Legal business name

NORTHWOOD FAMILY DENTAL CENTER

Doing business as

Fredrick M. Vega, D.D.S., P.C.

Practice address

1505 First NH Tpke
Northwood, NH 03261-3217

Phone

(603) 942-5541

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Fredrick M Vega

Title

President

Phone

(603) 942-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fredrick M. Vega, D.D.S., P.C. Doing business as

Tax ID family

Fredrick M Vega DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Amazing Smiles Family Dental Center

  dba Fredrick M. Vega, D.D.S., P.C.

  • Dental Clinic/Center
  • Hooksett, NH
  • NPI 1245409150
  NPD tax ID
• Fredrick M. Vega, D.D.S., P.C.

  • Dental Clinic/Center
  • Allenstown, NH
  • NPI 1770795858
  NPD tax ID

Locations

Practitioners 1

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

• Alison E Gomes, D.M.D.

  • Pediatric Dentistry
  • Northwood, NH
  • NPI 1437397064
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1538338223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 288",
            "address_2": "1505 FIRST NH TURNPIKE",
            "city": "NORTHWOOD",
            "state": "NH",
            "postal_code": "032613216",
            "telephone_number": "603-942-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 FIRST NH TPKE",
            "city": "NORTHWOOD",
            "state": "NH",
            "postal_code": "032613217",
            "telephone_number": "603-942-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-942-5541"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "1857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007856",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fredrick M. Vega, D.D.S., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melody Marshall
• Meyer Cranio Facial Imaging & Treatment Center LLC
• Meyer Family Dentistry
• Kimberly A Meyer, DMD
• Victoria A Mogol
• Northwood Family Dental Center, PLLC
• Northwood School District
• Sue Paluch, RPH
• Mercedes Rollins
• Tracie Rollins

• Dental Clinic/Center in Northwood, NH
• Providers in Northwood, NH by specialty
• Dental Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.