Angela J Santavicca DDS PLLC
Organization Active NPI General Practice Dentistry · Lebanon, NH
NPI 1639385289 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1639385289
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2648 (NH)
- Legal business name
- ANGELA J SANTAVICCA DDS PLLC
- Practice address
- 367 State Route 120
Unit C
Lebanon, NH 03766-1430 - Phone
- (603) 643-4142
- Fax
- (603) 643-1740
- NPI assigned
- May 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Jodi L Bergeron
- Title
- Practice Manager
- Phone
- (603) 643-4142
Practitioners 3
-
Aditi Gupta, DDS
-
Tushar Udeshi, D.D.S.
National Provider Directory
Locations
367 State Route 120
Unit C
Lebanon, NH 03766
Phone (603) 643-4142
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 2648 | NH | Yes |
Addresses
Primary practice location
367 State Route 120
Unit C
Lebanon, NH 03766-1430
Mailing address
367 State Route 120
Unit C
Lebanon, NH 03766-1430
Phone (603) 643-4142
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30310640 | Medicaid | NH |
Other providers in Lebanon, NH
- Mary Andrews
- Mary-Margaret Andrews
- Bruce Wayne Andrus
- Gabriela Maria Andujar Vazquez
- Musa M Aner
- Alexandra J Angelo
- Claire Kathryn Ankuda
- Joseph Payne Annis
- Catherine Anton
- Matthew E. Anton
All providers in Lebanon, NH · General Practice Dentistry in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.