Angela J Santavicca DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2648 Issued in 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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jodi L Bergeron

Title

Practice Manager

Phone

(603) 643-4142

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aditi Gupta, DDS

  • Dentist
  • Lebanon, NH
  • NPI 1952893034
  NPD (past)
• Angela Jean Santavicca, DDS

  • General Practice Dentistry
  • Lebanon, NH
  • NPI 1528199478
  NPD (past)
• Tushar Udeshi, D.D.S.

  • Dentist
  • Lebanon, NH
  • NPI 1184764946
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639385289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 STATE ROUTE 120",
            "address_2": "UNIT C",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661430",
            "telephone_number": "603-643-4142",
            "fax_number": "603-643-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 STATE ROUTE 120",
            "address_2": "UNIT C",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661430",
            "telephone_number": "603-643-4142",
            "fax_number": "603-643-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA J SANTAVICCA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "603-643-4142"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30310640",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Andrews, RN
• Mary-Margaret Andrews, MD
• Bruce Wayne Andrus, M.D.
• Gabriela Maria Andujar Vazquez, M.D.
• Musa M Aner, M.D.
• Alexandra J Angelo, PA-C
• Claire Kathryn Ankuda, MD
• Joseph Payne Annis, M.D.
• Catherine Anton, APRN
• Matthew E. Anton, MD

• General Practice Dentistry in Lebanon, NH
• Providers in Lebanon, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.