WENTWORTH-DOUGLASS COMMUNITY DENTAL CENTER (NPI# 1295814580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295814580 |
Entity Type | Organization |
Organization Name | WENTWORTH-DOUGLASS COMMUNITY DENTAL CENTER |
Practice Address |
668 Central Ave Dover NH 03820 |
Mailing Address |
668 Central Ave Dover NH 03820-3414 |
Practice Telephone | 6037493013 |
Practice Fax Number | 6037492915 |
Mailing Telephone | 6037493013 |
Mailing Fax Number | 6037492915 |
Enumeration Date | 2006-11-06 |
Last Update Date | 2018-07-19 |
Authorized Official Name | TRISHA GAGNON (SR REVENUE MANAGER) |
Authorized Official Telephone | 6037493013 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 3081310 | 05 |
Street Address |
668 CENTRAL AVE |
City | DOVER |
State | NH |
Zip Code | 03820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972058519 | Anne Sleeper | Dental Hygienist | 668 Central Ave, Dover, NH 03820-3414 | 2016-08-24 |
1396973061 | Elizabeth Courtney Jones | Dentist | 668 Central Ave, Dover, NH 03820-3414 | 2009-07-01 |
1114084142 | Stacey L Delbridge | Dentist | 668 Central Ave, Wentworth-douglass Community Dental Ctr, Dover, NH 03820 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
Find all providers in zip 03820 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700312527 | Michael James Moeller | Dentist | 748 S New St Ste C, Dover, DE 19904-3573 | 2017-05-11 |
1497203814 | New Smile Dental | Dentist | 411 Us Highway 46, Dover, NJ 07801-3709 | 2016-09-14 |
1134571565 | Kehan Li | Dentist | 60 Wolf Creek Blvd, Dover, DE 19901-4971 | 2016-07-11 |
1609235787 | Dowell Dental Holdings Dover LLC | Dentist | 328 Race St, Dover, OH 44622-2930 | 2016-02-17 |
1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
1447671805 | Kelly Michele Hollis | Dentist | 2320 Dogwood Road, Dover, PA 17315 | 2014-01-02 |
1235402496 | Access Dental, LLC | Dentist | 446a S New St, Dover, DE 19904-6725 | 2012-02-20 |
1740417096 | Joseph A Loboda IIi | Dentist | 66 E Mcfarlan St Ste 3, Dover, NJ 07801-3533 | 2009-06-14 |
1275790990 | Scott W. Booth | Dentist | 404 N Walnut St, Dover, OH 44622-2850 | 2008-05-20 |
1710198163 | Dennis Louis Errichiello | Dentist | 411 Rt. 46 East, Dover, NJ 07801 | 2007-05-25 |
Find all providers in DOVER |
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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.