Organization Active NPI

Alton Bay Dental PLLC

  • Dental Clinic/Center
  • Alton, NH
National Provider Identifier
1730708272
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALTON BAY DENTAL PLLC
Practice address
291 Main Street
Alton, NH 03809
Phone
(603) 855-2017
NPI assigned
Apr 14, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Curtis Alan Thibeault, DMDNPI 1205328085
Title
Dentist/Owner
Phone
(207) 316-3328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

291 Main Street
Alton, NH 03809

Mailing address

PO Box 1584
Alton, NH 03809
Phone (207) 316-3328

Other practice location 1

291 N Main St
Rochester, NH 03867-4302
Phone (603) 855-2017

National Provider Directory

National Provider Directory

Locations

291 N Main St
Rochester, NH 03867
Phone (603) 855-2017

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1730708272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1584",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "03809",
            "telephone_number": "207-316-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MAIN STREET",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "03809",
            "telephone_number": "603-855-2017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "291 N Main St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038674302",
            "country_code": "US",
            "telephone_number": "603-855-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTON BAY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "THIBEAULT",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "207-316-3328",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.