Zachary Daniels, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

04229 Issued in NH

Practice address

5 Sheep Davis Rd
Pembroke, NH 03275-3702

Phone

(603) 224-7831

Fax

(603) 224-8549

NPI assigned

Jun 21, 2016

Last updated

Oct 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 25, 2025 through Oct 25, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nader Moavenian, DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Pembroke, NH
  • NPI 1093353526
  NPD
• Daniel H de Tolla, D.D.S., M.D., PA

  dba Seacoast Dental Implant & Oral Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Portsmouth, NH
  • NPI 1316850944
  NPD (past)
• Nhoms, PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Nashua, NH
  • NPI 1154525624
  NPD (past)
• Nhoms, PLLC

  dba Nhoms

  • Oral and Maxillofacial Surgery (Dentist)
  • Pembroke, NH
  • NPI 1811752629
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1922458918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHEEP DAVIS RD",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032753702",
            "telephone_number": "603-224-7831",
            "fax_number": "603-224-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHEEP DAVIS RD",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032753702",
            "telephone_number": "603-224-7831",
            "fax_number": "603-224-8549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Elliot Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033557",
            "country_code": "US",
            "telephone_number": "603-645-6600",
            "fax_number": "603-645-1877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "04229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Cimini
• Community Services Council of NH
• Becky Marie Cournoyer
• Crossroads Chiropractic PC
• Cytoheal Wound Solutions PLLC
• Deerfield School District
• DMS Aesthetics & Bodyworks LLC
• Alyson Dowd
• Grace Driscoll
• Serena D Duckrow Fonda, LCMHC, ATR-BCCS

• Oral and Maxillofacial Surgery (Dentist) in Pembroke, NH
• Providers in Pembroke, NH by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.