Organization Active NPI

Plymouth General Dentistry, PLLC

  • Dentist
  • Plymouth, NH
National Provider Identifier
1760736599
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
03952 Issued in NH
Legal business name
PLYMOUTH GENERAL DENTISTRY, PLLC
Practice address
65 Highland St
Plymouth, NH 03264-1232
Phone
(603) 536-4301
Fax
(603) 536-1984
NPI assigned
Oct 31, 2012
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Joan Kirschner, D.D.S.NPI 1033467048
Title
Owner
Phone
(603) 536-4301

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
Dentist 122300000X 03952 NH Primary

Addresses

Primary practice location

65 Highland St
Plymouth, NH 03264-1232

Mailing address

65 Highland St
Plymouth, NH 03264-1232
Phone (603) 536-4301

National Provider Directory

National Provider Directory

Locations

65 Highland St
Plymouth, NH 03264
Phone (603) 536-4301

Practitioners & affiliated clinicians

Practitioners 3

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": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1760736599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HIGHLAND ST",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641232",
            "telephone_number": "603-536-4301",
            "fax_number": "603-536-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HIGHLAND ST",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641232",
            "telephone_number": "603-536-4301",
            "fax_number": "603-536-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH GENERAL DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "KIRSCHNER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-536-4301",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "03952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.