White Birch Oral Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3261 Issued in NH

Legal business name

WHITE BIRCH ORAL SURGERY, PLLC

Practice address

44 Dover Point Rd Unit C
Dover, NH 03820-4669

Phone

(603) 740-1414

Fax

(603) 740-0111

NPI assigned

Dec 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Peter P Reich, DMD

Title

Physician/Owner

Phone

(603) 740-1414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1982906467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DOVER POINT RD UNIT C",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204669",
            "telephone_number": "603-740-1414",
            "fax_number": "603-740-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DOVER POINT RD UNIT C",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204669",
            "telephone_number": "603-740-1414",
            "fax_number": "603-740-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE BIRCH ORAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "603-740-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "3261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann West, RN, CDE
• Joelene West, PTA
• Emily Weston, APRN
• Jayanthi Emmanuel Wheeler, MD
• Patricia Wheeler, LCMHC
• White Birch Recovery Services, PLLC
• Brendan White, DMD
• Elaine White, MS
• Joseph D. White, D.M.D., M.D.
• Kathie A White, LCMHC

• Oral and Maxillofacial Surgery (Dentist) in Dover, NH
• Providers in Dover, 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 Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.