Grace Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

1604 Issued in NH

Legal business name

GRACE FAMILY DENTISTRY

Practice address

143 Airport Rd
Concord, NH 03301

Phone

(603) 225-6650

Fax

(603) 225-9495

NPI assigned

Apr 18, 2006

Last updated

Aug 22, 2020By 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. Alex L McCulloch, DDSNPI 1023173598

Title

Dentist Partner

Phone

(603) 225-6650

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

Practitioners 5

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.

• Alex L McCulloch, DDS

  • Dentist
  • Concord, NH
  • NPI 1023173598
  NPD (past) Authorized official
• Arnie Burdick, DDS

  • Dentist
  • Concord, NH
  • NPI 1174688659
  NPD (past)
• Diana T Carrillo, D.D.S

  • Dentist
  • Concord, NH
  • NPI 1699036004
  NPD (past)
• James T Sheehan, DDS

  • Dentist
  • Concord, NH
  • NPI 1306901871
  NPD (past)
• David Andrew Nadolski, D.D.S.

  • General Practice Dentistry
  • Bluffton, SC
  • NPI 1598956534
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861457665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 AIRPORT RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-225-6650",
            "fax_number": "603-225-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 AIRPORT RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-225-6650",
            "fax_number": "603-225-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCULLOCH",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST PARTNER",
        "authorized_official_telephone_number": "603-225-6650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "1604",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "3170",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "2389",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "1478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004745",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FEDERAL",
            "identifier": "0206510Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Leigh Gow, D.P.T.
• Karen Gowell, LICSW
• Raman Goyal, DDS
• Nicole Daune Goyette, LICSW
• Kelsey Graaskamp, MA
• Laura Marise Grace, MA, CAGS, NCSP
• Graceful Hands Community GHC
• Lori Graf
• Camella Granara, FNP-BC, PMHNP-BC
• Anne C. Granfield, MD

• Dentist in Concord, NH
• Providers in Concord, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.