Wolfeboro Family Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04208 Issued in NH

Legal business name

WOLFEBORO FAMILY DENTAL, PLLC

Practice address

12 Varney Rd
Wolfeboro, NH 03894

Phone

(603) 569-2268

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Charles Ellingwood Simpson, D.D.S.NPI 1821303777

Title

Dentist/Owner

Phone

(603) 569-2268

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Ellingwood Simpson, D.D.S.

  • General Practice Dentistry
  • Wolfeboro, NH
  • NPI 1821303777
  NPD (past) Authorized official

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1861853095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "038960098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 VARNEY RD",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "03894",
            "telephone_number": "603-569-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFEBORO FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ELLINGWOOD",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "603-569-2268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Bradley White, M.D.
• Amanda Whiting, OTR/L
• Alison Wichroski
• Jessica L Williams, HIS
• Wolfeboro Chiropractic Office
• Wolfeboro Medical Imaging, P.C.
• Wolfeboro SNF Opco LLC

• General Practice Dentistry in Wolfeboro, NH
• Providers in Wolfeboro, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.