SHAUNA L.GAUTHIER DMD PLLC (NPI# 1407133234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407133234 |
| Entity Type | Organization |
| Organization Name | SHAUNA L.GAUTHIER DMD PLLC |
| Practice Address |
96 High St Laconia NH 03246-3537 |
| Practice Telephone | 6035271700 |
| Practice Fax Number | 6035271785 |
| Mailing Telephone | 6035271700 |
| Mailing Fax Number | 6035271785 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | SHAUNA L GAUTHIER (OWNER) |
| Authorized Official Telephone | 6035271700 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
03806 | NH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30308320 | 05 |
| Street Address |
96 HIGH ST |
| City | LACONIA |
| State | NH |
| Zip Code | 03246-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528090206 | Elizabeth A Mitchell | Nurse Practitioner | 96 High St, Laconia, NH 03246-3537 | 2006-07-06 |
| 1780973776 | Louis M Ricciardiello Dmd Pllc | Dentist | 96 High St, Laconia, NH 03246-3537 | 2011-03-31 |
| 1043415052 | Louis M Ricciardiello Dmd | Dentist | 96 High St, Laconia, NH 03246-3537 | 2007-06-19 |
| 1396863379 | Louis Ricciardiello | Dentist | 96 High St, Laconia, NH 03246-3537 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| Find all providers in zip 03246 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154525624 | Nhoms, Pllc | Clinic/Center | 33 Trafalgar Sq, Suite 201, Nashua, NH 03063-4900 | 2007-06-11 |
| 1265647598 | Charles J Burliss Dmd Mscd PC | Clinic/Center | 12 Stiles Rd Ste 203, Salem, NH 03079-2881 | 2007-05-11 |
| 1104430131 | Plaistow Dental Implant and Oral Surgery Center | Clinic/Center | 166 Plaistow Rd Unit 3, Plaistow, NH 03865-2843 | 2020-09-08 |
| 1467062935 | Manchester Oral Surgery, Pllc | Clinic/Center | 27 Sagamore St, Manchester, NH 03104-3547 | 2020-08-08 |
| 1043636616 | Hanover Oral Surgery Pllc | Clinic/Center | 367 Route 120, Unit E-1, Lebanon, NH 03766-1430 | 2014-03-06 |
| 1043452923 | Dave C Pak Dmd Md Pa | Clinic/Center | 123 Washington St, Rochester, NH 03839-5505 | 2009-03-24 |
| 1962620229 | Daniel H De Tolla, D.d.s., M.d., Pa | Clinic/Center | 200 Griffin Road, Suite 8, Portsmouth, NH 03801 | 2007-04-23 |
| 1437166584 | White Mountain Oral & Maxillofacial Surgery, PC | Clinic/Center | 3277 White Mountain Hwy, North Conway, NH 03860-5113 | 2006-08-02 |
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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.