DR. JEFFREY N. FASULO (NPI# 1134355415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134355415 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY N. FASULO |
| Other Name | DR. WILLIAM H. LAFONTAINE |
| Credential | D.D.S. |
| Practice Address |
60 Main St Suite 330 Nashua NH 03060-2720 |
| Practice Telephone | 6038862700 |
| Practice Fax Number | 6035955253 |
| Mailing Telephone | 6038862700 |
| Mailing Fax Number | 6035955253 |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 01434 | NH | Dental Providers |
| Y | 122300000X | Dentist | 02096 | NH | Dental Providers |
| Street Address |
60 MAIN ST SUITE 330 |
| City | NASHUA |
| State | NH |
| Zip Code | 03060-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174938674 | Mind Validation | Counselor | 60 Main St, 300, Nashua, NH 03060-2720 | 2014-06-24 |
| 1336578996 | Kirby Gardner | Counselor | 60 Main St, 300, Nashua, NH 03060-2720 | 2013-11-04 |
| 1982969481 | Laurie Beth Anderson | Counselor | 60 Main St, Suite 300, Nashua, NH 03060-2720 | 2012-07-10 |
| 1659649226 | Laura Ives Stevens Chan | Acupuncturist | 60 Main St, Suite 320, Nashua, NH 03060-2720 | 2011-12-09 |
| 1194050567 | J A Herner Chiropractic, Pllc | Chiropractor | 60 Main St, Suite 100, Nashua, NH 03060-2720 | 2009-10-02 |
| 1255530879 | Lori J. Dibacco | Naturopath | 60 Main St, Ste 320, Nashua, NH 03060 | 2007-07-13 |
| 1851596159 | John A Herner | Chiropractor | 60 Main St, Suite 100, Nashua, NH 03060-2720 | 2007-06-18 |
| 1073588133 | Celene J Barnes | Psychologist | 60 Main St, Suite 210, Nashua, NH 03060-2720 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
| 1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
| 1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
| 1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
| 1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
| Find all providers in zip 03060 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346770765 | Monica Patricia Moitoso | Dentist | 112 Spit Brook Rd Ste C, Nashua, NH 03062-2711 | 2017-06-18 |
| 1134675135 | Richard B Hanson, Dds, LLC | Dentist | 505 W Hollis St Ste 211, Nashua, NH 03062-1388 | 2016-08-30 |
| 1447519103 | Dental Health Solutions of Nashua | Dentist | Zero Profile Circle, Nashua, NH 03063 | 2012-05-15 |
| 1265791388 | Jessica Leigh Williams | Dentist | 283 Broad St, Nashua, NH 03063-3160 | 2012-05-09 |
| 1174844153 | Michael Joseph Paisner | Dentist | 78 Northeastern Blvd Ste 5, Nashua, NH 03062-3179 | 2010-06-14 |
| 1578894754 | Franklyn Liberatore | Dentist | 60 Main St Ste 330, Nashua, NH 03060-2720 | 2010-01-27 |
| 1417117474 | Suma Parakkal | Dentist | 375 Amherst St Ste 2, Nashua, NH 03063-1216 | 2008-06-12 |
| 1144488362 | Mary Licking | Dentist | 11 Strawberry Bank Rd, Apt 18, Nashua, NH 03062-2766 | 2008-05-23 |
| 1801061528 | Kerry Wu Dental Office PC | Dentist | 127 Amherst St, Nashua, NH 03064-2043 | 2008-04-23 |
| 1063682334 | Northeast Family Dental Center PC | Dentist | 193 Kinsley St, Nashua, NH 03060-3658 | 2008-03-03 |
| Find all providers in NASHUA | ||||
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| 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.