CONCORD PEDIATRIC DENTISTRY OF NEW LONDON, PLLC (NPI# 1033535836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033535836 |
| Entity Type | Organization |
| Organization Name | CONCORD PEDIATRIC DENTISTRY OF NEW LONDON, PLLC |
| Practice Address |
299 Main St. New London NH 03257 |
| Mailing Address |
Po Box 301 New London NH 03257-0301 |
| Practice Telephone | 6038770069 |
| Mailing Telephone | 6038770069 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Authorized Official Name | DR. PATRICK F. CAPOZZI (SECRETARY) |
| Authorized Official Telephone | 6038770069 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 3561 | NH | Managed Care Organizations |
| Street Address |
299 MAIN ST. |
| City | NEW LONDON |
| State | NH |
| Zip Code | 03257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357218 | Glenn L Perreault | Pharmacist | 82 Newport Rd, New London, NH 03257 | 2020-05-13 |
| 1740733047 | Patricia Martick-campbell | Counselor | 32 Goosehole Lane, New London, NH 03257 | 2016-08-03 |
| 1285926071 | Nicholas Chester Reynolds Jr. | Surgery | 153 Seamans Road, New London, NH 03257 | 2011-05-11 |
| 1366693426 | Marlene G Meinelt | Social Worker | 35 Newport Road, New London, NH 03257 | 2008-10-08 |
| 1053562140 | Olivia Powers Weathers | Chiropractor | 71 Pleasant Street, New London, NH 03257 | 2008-10-07 |
| 1851569768 | Gregory P. Gutgsell Dds & Darren M Phipps Dds, Prof Assn | Dentist | 125 Newport Road, New London, NH 03257 | 2008-02-13 |
| 1093992000 | Christine Ann Dube | Family Medicine | 273 Country Road, New London, NH 03257 | 2008-01-22 |
| 1477743615 | Elizabeth Ann Johnston | Social Worker | The Gallery, 276 Newport Rd., Suite 202, New London, NH 03257 | 2007-07-25 |
| 1922215946 | Anthony Joseph Yuskaitis | Family Medicine | 868 Morgan Hill Rd., New London, NH 03257 | 2007-05-17 |
| 1184836926 | Leonard Gary Fish | Durable Medical Equipment & Medical Supplies | 3 Colonial Place, New London, NH 03257 | 2007-05-04 |
| Find all providers in zip 03257 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417401878 | Magdalena Soutcheva Dmd PC D/b/a Coastal Dental Associates | Point of Service | 2837 Lafayette Rd, Portsmouth, NH 03801-5648 | 2016-08-15 |
| 1558762419 | Factor Dental, Inc | Point of Service | 8 Vinton St, Manchester, NH 03103-3928 | 2014-09-10 |
| 1598018467 | Mrsrd, LLC | Point of Service | 50 Emerson Rd, Milford, NH 03055-3516 | 2012-10-17 |
| 1881815587 | Columbus Dental Care, Pllc | Point of Service | 30 Lowell Rd, Suite #19, Hudson, NH 03051-2800 | 2007-05-01 |
| City | NEW LONDON |
| Zip Code | 03257 |
Please comment or provide details below to improve the information on CONCORD PEDIATRIC DENTISTRY OF NEW LONDON, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.