Susan Alison Roberge, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1978 Issued in NH

Practice address

505 Riverway PL
Bedford, NH 03110-6766

Phone

(603) 622-3445

Fax

(603) 624-4340

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lawrence J Puccini DDS

  • General Practice Dentistry
  • Bedford, NH
  • NPI 1144362815
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649340803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106766",
            "telephone_number": "603-622-3445",
            "fax_number": "603-624-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106766",
            "telephone_number": "603-622-3445",
            "fax_number": "603-624-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERGE",
        "first_name": "SUSAN",
        "middle_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "1978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Road Dental
• River Road Pediatrics, P.L.L.C.
• Nicholas C. Rizos, DMD
• David N Robator, PT
• Nancy Illingworth Robator, PT
• Clive E Robertson, FNP-BC
• Cristy Anne Robertson, RN
• Selina Marie Robertson, DPT
• Ryan Daniel Robichaud-Fuentes, PH.D, LMHC
• Roland M. Glassman

• General Practice Dentistry in Bedford, NH
• Providers in Bedford, 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 Jul 8, 2007; 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.