Individual provider Active NPI

Stephen Enrico Fucini, DMD

  • Periodontics
  • Hanover, NH
National Provider Identifier
1649254665
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2563 Issued in NH
Practice address
73 Lyme Rd
Ste #2
Hanover, NH 03755
Phone
(603) 643-0501
Fax
(603) 643-4676
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2563 NH Primary

Addresses

Primary practice location

73 Lyme Rd
Ste #2
Hanover, NH 03755

Mailing address

73 Lyme Rd
Ste #2
Hanover, NH 03755
Phone (603) 643-0501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649254665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 LYME RD",
            "address_2": "STE #2",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "03755",
            "telephone_number": "603-643-0501",
            "fax_number": "603-643-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LYME RD",
            "address_2": "STE #2",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "03755",
            "telephone_number": "603-643-0501",
            "fax_number": "603-643-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCINI",
        "first_name": "STEPHEN",
        "middle_name": "ENRICO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.