WINDHAM DENTAL GROUP, PLLC (NPI# 1245701432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245701432 |
| Entity Type | Organization |
| Organization Name | WINDHAM DENTAL GROUP, PLLC |
| Practice Address |
115 Indian Rock Rd Windham NH 03087-2012 |
| Practice Telephone | 6038933891 |
| Mailing Telephone | 6038933891 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Authorized Official Name | DR. YOUNG K SON (OWNER) |
| Authorized Official Telephone | 6038933891 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
115 INDIAN ROCK RD |
| City | WINDHAM |
| State | NH |
| Zip Code | 03087-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215972971 | Richard A. Workman | Dentist | 115 Indian Rock Rd, Windham, NH 03087-2012 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447627781 | Benjamin Paul Sherr | Physical Therapist | 32 Indian Rock Road, Unit 5, Windham, NH 03087 | 2015-08-21 |
| 1346513934 | Michele Fox | Physical Therapist | 32 Indian Rock Rd #5, Windham, NH 03087 | 2012-02-14 |
| 1235412750 | Julie M Ferry | Physical Therapist | 3 Church Road, Windham, NH 03087 | 2011-09-21 |
| 1821308867 | Emlee Paige Betts | Counselor | 46 Lowell Road, Unit 7, Windham, NH 03087 | 2010-10-08 |
| 1851531784 | Serena J Verolla | Nurse Practitioner | 58 Range Rd Ste R-05, Windham, NH 03087 | 2009-03-05 |
| 1619198009 | Katherine Ann Hebert Smith | Occupational Therapist | 3 Industrial Drive, Unit 1, Windham, NH 03087 | 2007-05-01 |
| 1164558532 | Windham Dental Center | Dentist | 25 Indian Rock Road, Suite One, Windham, NH 03087 | 2007-02-27 |
| 1013079862 | Lisa Marie Hatzos | Internal Medicine | 127 Rockingham Road, Suite 103 Elliot Peak Internal Medicine At Windham, Windham, NH 03087 | 2006-12-15 |
| 1669578571 | Aimee Murray | Physician Assistant | 49 Range Rd Ste 104, Windham, NH 03087 | 2006-09-16 |
| 1902852262 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 43 Indian Rock Rd, Windham, NH 03087 | 2006-05-26 |
| Find all providers in zip 03087 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861981060 | Adam J Lankford Dds Pllc | Clinic/Center | 1 Delahunty Dr # 2, Windham, NH 03087-2019 | 2018-05-03 |
| 1649580853 | Independent Denture Center PC | Clinic/Center | 530 Roosevelt Trl, Windham, ME 04062-4901 | 2010-10-21 |
| 1902293848 | Windham Dental Group PC | Clinic/Center | 731 Roosevelt Trl, Windham, ME 04062-5269 | 2015-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710532577 | Gentle Dental Associates, LLC | Clinic/Center | 55 E Broadway Unit 1, Derry, NH 03038-2450 | 2019-08-07 |
| 1043864911 | Stratham Family Dental Associates, Pllc | Clinic/Center | 2 Raeder Dr, Stratham, NH 03885-2313 | 2019-07-30 |
| 1083277032 | Pearl Dental Associates | Clinic/Center | 76 Northeastern Blvd Unit 35, Nashua, NH 03062-3174 | 2019-04-16 |
| 1376028761 | Hyland Dental, PC | Clinic/Center | 367 Route 120 Bldg D, Lebanon, NH 03766-1430 | 2018-10-01 |
| 1922506914 | Merrimack Valley Dental Care | Clinic/Center | 155 Main Dunstable Rd Ste 220, Nashua, NH 03060-3640 | 2018-01-25 |
| 1164961611 | Seacoast Children's Dentistry | Clinic/Center | 13 March Farm Way, Unit A, Greenland, NH 03840 | 2017-02-16 |
| 1053796243 | Rose L. Wang Dmd Pllc | Clinic/Center | 159 Main Dunstable Rd # Rd, Suite 103, Nashua, NH 03060-3642 | 2015-07-29 |
| 1700271491 | Suma Rajesh,dmd,pllc | Clinic/Center | 9 Annabelle Ct, Nashua, NH 03062-3096 | 2015-03-31 |
| 1235522558 | Plaistow Pediatric Dentistry & Orthodontics | Clinic/Center | 166 Plaistow Rd, Plaistow, NH 03865-2843 | 2015-03-11 |
| 1780006759 | Gentle Dental Associates, LLC | Clinic/Center | 801 Elm St, Manchester, NH 03101-2103 | 2014-01-10 |
| Find all providers with the same taxonomy | ||||
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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.