Dover Pediatric Dentistry & Orthodontics PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3134 Issued in NH

Legal business name

DOVER PEDIATRIC DENTISTRY & ORTHODONTICS PLLC

Practice address

750 Central Ave
Suite K
Dover, NH 03820-3434

Phone

(603) 743-6000

NPI assigned

Apr 30, 2014

Last updated

Apr 30, 2014By 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. Gary Don Wendell, D.D.S.

Title

Doctor / Dentist

Phone

(603) 686-3928

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1780094763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CENTRAL AVE",
            "address_2": "SUITE K",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203434",
            "telephone_number": "603-743-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CENTRAL AVE",
            "address_2": "SUITE K",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203434",
            "telephone_number": "603-743-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER PEDIATRIC DENTISTRY & ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "WENDELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "DOCTOR / DENTIST",
        "authorized_official_telephone_number": "603-686-3928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "3134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081208",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dover Dental Associates, LLP
• Dover Dental Group PLLC
• Dover Eye Care, PC
• Dover Foot Specialty Center, PC
• Dover Internal and Geriatric Medicine, PLLC
• Dover Pediatrics, PLLC
• Dover Physical Therapy
• Dover Physical Therapy LLC
• Dover SNF Opco LLC (Langdon Place of Dover)
• Dover SNF Opco LLC (Langdon Place of Dover)

• Pediatric Dentistry in Dover, NH
• Providers in Dover, NH by specialty
• Pediatric Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.