NPIMap

Organization Active NPI

Audc Dental Group PLLC

  • Dental Clinic/Center
  • Manchester, NH
National Provider Identifier
1548649890
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
03648 Issued in NH
Legal business name
AUDC DENTAL GROUP PLLC
Doing business as
Amoskeag Urgent Dental Care
Practice address
324 S Main St
Manchester, NH 03102-4842
Phone
(603) 627-3927
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Dr. Jason Sudati, DMD
Title
Dentist/General Partner
Phone
(603) 627-3927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 03648 NH Primary

Addresses

Primary practice location

324 S Main St
Manchester, NH 03102-4842

Mailing address

324 S Main St
Manchester, NH 03102-4842
Phone (603) 627-3927

Other names 1

  • Amoskeag Urgent Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

324 S Main St
Manchester, NH 03102
Phone (603) 627-3927

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": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1548649890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024842",
            "telephone_number": "603-627-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024842",
            "telephone_number": "603-627-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDC DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "SUDATI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DENTIST/GENERAL PARTNER",
        "authorized_official_telephone_number": "603-627-3927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "03648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amoskeag Urgent Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 7, 2017; 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.