Organization Active NPI

Daniel H de Tolla, D.D.S., M.D., PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Portsmouth, NH
National Provider Identifier
1801790605
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DANIEL H DE TOLLA, D.D.S., M.D., PA
Practice address
150 Griffin Rd Ste 2
Portsmouth, NH 03801-7131
Phone
(603) 431-8427
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DANIEL H DE TOLLA, D.D.S., M.D., PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 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

150 Griffin Rd Ste 2
Portsmouth, NH 03801-7131

Mailing address

150 Griffin Rd Ste 2
Portsmouth, NH 03801-7131
Phone (603) 431-8427

Other names 1

  • Seacoast Dental Implant & Oral Surgery Center - Portsmouth 2 Other name

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1801790605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GRIFFIN RD STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017131",
            "telephone_number": "603-431-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GRIFFIN RD STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017131",
            "telephone_number": "603-431-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL H DE TOLLA, D.D.S., M.D., PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIEL H DE TOLLA, D.D.S., M.D., PA",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "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": [
        {
            "organization_name": "Seacoast Dental Implant & Oral Surgery Center - Portsmouth 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.