Active NPI
Daniel H de Tolla, D.D.S., M.D., PA
- Oral and Maxillofacial Surgery Clinic/Center
- Portsmouth, NH
National Provider Identifier
1962620229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- 3472
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Oral and Maxillofacial Pathology Dentistry
- Portsmouth, NH
- NPI 1275576829
-
- Oral and Maxillofacial Surgery (Dentist)
- Pembroke, NH
- NPI 1922458918
-
- Oral and Maxillofacial Surgery (Dentist)
- Portsmouth, NH
- NPI 1821353772
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
- Lauren Morrison Daigneault, DPT
- Olivia Dame
- Tracey Damon, APRN
- Suzanne Danforth, MS, CCC-SLP
- Daniel H de Tolla, D.D.S., M.D., PA (Seacoast Dental Implant & Oral Surgery Center)
- Daniel P. Keenan DDS PA
- Michael Casimir Danielski, M.D.
- Tristram Heyward Dashti-Gibson, LCMHC
- Daniel L Davies, DO
- Gareth Davies, M.D.
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.