Pittsfield Family Dental Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1857 Issued in NH

Legal business name

PITTSFIELD FAMILY DENTAL CENTER LLC

Practice address

50 Manchester St
Pittsfield, NH 03263-3401

Phone

(603) 435-8030

Fax

(603) 435-8107

NPI assigned

Nov 16, 2011

Last updated

Nov 16, 2011By 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

Dr. Fredrick M Vega, D.D.S.

Title

Managing Member

Phone

(603) 435-8030

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Diane Jane Lammott, RDH

  • Dental Hygienist
  • Pittsfield, NH
  • NPI 1487745998
  NPD (past)
• Bradford Kirby McGowan, DDS

  • General Practice Dentistry
  • Pittsfield, NH
  • NPI 1760573273
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1700153947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MANCHESTER ST",
            "city": "PITTSFIELD",
            "state": "NH",
            "postal_code": "032633401",
            "telephone_number": "603-435-8030",
            "fax_number": "603-435-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MANCHESTER ST",
            "city": "PITTSFIELD",
            "state": "NH",
            "postal_code": "032633401",
            "telephone_number": "603-435-8030",
            "fax_number": "603-435-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSFIELD FAMILY DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "603-435-8030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "1857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007856",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rileigh O'Brien, MA SLP
• Kristen Patterson, MS OTR/L
• Amanda Marie Pendlebury, MS, BCHN
• Jason Perkins, MS
• Amy B. Philbrick, LSPS
• Pittsfield Medical & Surgical, PA (Pittsfield Medical Center, PA)
• Pittsfield School District
• Professional Physical Therapy Services of Central NH LLC
• Ericka Pyles
• Rite Aid of New Hampshire Inc (Rite Aid Pharmacy 04794)

• General Practice Dentistry in Pittsfield, NH
• Providers in Pittsfield, 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 Nov 16, 2011; 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.