Organization Active NPI

Capitol Center for Oral & Maxillofacial Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Concord, NH
National Provider Identifier
1770487159
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CAPITOL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PLLC
Practice address
6 Loudon Rd Ste 204
Concord, NH 03301-5321
Phone
(603) 225-0008
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CAPITOL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X NU

Addresses

Primary practice location

6 Loudon Rd Ste 204
Concord, NH 03301-5321

Mailing address

6 Loudon Rd Ste 204
Concord, NH 03301-5321
Phone (603) 225-0008

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1770487159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOUDON RD STE 204",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015321",
            "telephone_number": "603-225-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LOUDON RD STE 204",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015321",
            "telephone_number": "603-225-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITOL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PLLC",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.