James Robert Predmore, D.D.S.

Individual provider Active NPI General Practice Dentistry · Hanover, NH

NPI 1699797167 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1699797167
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1861 (NH)
Practice address
2 Buck Rd
Suite 4
Hanover, NH 03755-2715
Phone
(603) 643-8300
Fax
(603) 643-8200
NPI assigned
Jul 24, 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

State licenses

LicenseStateTypeSpecialty
1861NHMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1861 NH Yes

Addresses

Primary practice location

2 Buck Rd
Suite 4
Hanover, NH 03755-2715

Mailing address

839 New Boston Rd
Norwich, VT 05055-9685
Phone (802) 649-8835

Other providers in Hanover, NH

All providers in Hanover, NH · General Practice Dentistry in New Hampshire

Sources for this page

Verify at the official NPI Registry.