Mondovi Dental of New Hampshire PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MONDOVI DENTAL OF NEW HAMPSHIRE PC

Practice address

340 West St
Keene, NH 03431-2446

Phone

(603) 352-1913

Fax

(603) 352-1930

NPI assigned

May 18, 2016

Last updated

May 18, 2016By 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. Donald Hudson, DMD

Title

PC Owner

Phone

(715) 926-5050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1710334834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WEST ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034312446",
            "telephone_number": "603-352-1913",
            "fax_number": "603-352-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WEST ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034312446",
            "telephone_number": "603-352-1913",
            "fax_number": "603-352-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONDOVI DENTAL OF NEW HAMPSHIRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PC OWNER",
        "authorized_official_telephone_number": "715-926-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Keene, NH
• Providers in Keene, 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 May 18, 2016; 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.