Bruce J Trivellini, DDS
Individual provider Active NPI Dentist · Contoocook, NH
NPI 1609949841 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609949841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 3161 (NH)
- Practice address
- 25 Dolly Road
Contoocook, NH 03229 - Phone
- (603) 746-3900
- Fax
- (603) 746-3074
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3161 | NH | Yes |
Addresses
Primary practice location
25 Dolly Road
Contoocook, NH 03229
Mailing address
PO Box 246
25 Dolly Road
Contoocook, NH 03229-0246
Phone (603) 746-3900
Other providers in Contoocook, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.