Organization Active NPI

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

  • Oral and Maxillofacial Surgery Clinic/Center
  • Portsmouth, NH
National Provider Identifier
1962620229
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
3472 Issued in NH
Legal business name
DANIEL H DE TOLLA, D.D.S., M.D., PA
Practice address
200 Griffin Road
Suite 8
Portsmouth, NH 03801
Phone
(603) 436-3608
Fax
(603) 436-3646
NPI assigned
Apr 23, 2007
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Dr. Daniel Henry De Tolla, D.D.S., M.D.NPI 1275576829
Title
Oral Surgeon
Phone
(603) 436-3608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 3472 NH Primary

Addresses

Primary practice location

200 Griffin Road
Suite 8
Portsmouth, NH 03801

Mailing address

200 Griffin Road
Suite 8
Portsmouth, NH 03801
Phone (603) 436-3608

National Provider Directory

National Provider Directory

Locations

200 Griffin Rd
Ste 8
Portsmouth, NH 03801
Phone (603) 436-3608

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1962620229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRIFFIN ROAD",
            "address_2": "SUITE 8",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-436-3608",
            "fax_number": "603-436-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRIFFIN ROAD",
            "address_2": "SUITE 8",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-436-3608",
            "fax_number": "603-436-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL H DE TOLLA, D.D.S., M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "DE TOLLA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "603-436-3608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "3472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 8, 2009; 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.