CONWAY VILLAGE DENTAL (NPI# 1528480902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528480902 |
| Entity Type | Organization |
| Organization Name | CONWAY VILLAGE DENTAL |
| Other Organization Name | LIVING RESPONSIBLY PLLC |
| Practice Address |
21a Poliquin Drive Conway NH 03818 |
| Practice Telephone | 6034476707 |
| Practice Fax Number | 6034478376 |
| Mailing Telephone | 6034476707 |
| Mailing Fax Number | 6034478376 |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | DR. JULIE ANN DUDEVOIR-BADGER (CEO) |
| Authorized Official Telephone | 6034476707 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3080677 | 05 |
| Other Name | Type Code |
|---|---|
| Living Responsibly PLLC | Former Legal Business Name - Organization |
| Street Address |
21A POLIQUIN DRIVE |
| City | CONWAY |
| State | NH |
| Zip Code | 03818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764020 | Erin Lee Carroll | Physical Medicine & Rehabilitation | Mountain Center Physical Therapy, 37 Main Street, Conway, NH 03818 | 2019-11-14 |
| 1053893909 | Kim Marie Matte | Social Worker | 19 Holly Ridge Lane, Conway, NH 03818 | 2018-09-06 |
| 1861986556 | Cynthia Mcgee | Nurse Practitioner | White Mountain Community Health Center, 298 White Mountain Highway, Conway, NH 03818 | 2018-06-18 |
| 1023562634 | The Lawton West Group LLC | Durable Medical Equipment & Medical Supplies | 34 Crescent Dr., Conway, NH 03818 | 2016-08-11 |
| 1730528787 | Mother Knows Best Maternity and Recuperative Wellness LLC | Durable Medical Equipment & Medical Supplies | 367 Modock Hill Rd, Conway, NH 03818 | 2013-06-21 |
| 1801175252 | Stevi Gelinas | Massage Therapist | 24 Pleasant St., Conway, NH 03818 | 2011-08-16 |
| 1558518969 | Lifestar Emergency Medical Services LLC | Ambulance | 29 Rt 113 Suite B, Albany, NH 03818 | 2008-08-27 |
| 1477614030 | Cheryl Bildner | Psychologist | 81 Washington Street, Box 2726, Conway, NH 03818 | 2006-12-13 |
| 1154499739 | Eric O Hirschfeld | Dentist | 51a Washington St, Conway, NH 03818 | 2006-12-01 |
| 1437236767 | George Gerard Ryan Jr. | Dentist | 7 Greenwood Avenue, #3, Conway, NH 03818 | 2006-11-01 |
| Find all providers in zip 03818 | ||||
| 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 |
|---|---|---|---|---|
| 1497310288 | Luke Fruchey | Dentist | 1125 S Amity Rd, Conway, AR 72032-8090 | 2019-05-07 |
| 1821591876 | Randy Lenderman Dds Plc | Dentist | 2425 Prince St Ste 1, Conway, AR 72034-3701 | 2018-03-15 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1427592732 | Axpm- Conway Dental Pllc | Dentist | 8 Medical Ln, Conway, AR 72034-4913 | 2016-12-06 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1548642556 | Brooke Jeffus, Dds, Pllc | Dentist | 2235 Dave Ward Dr Ste 103, Conway, AR 72034-7040 | 2015-06-25 |
| 1316326028 | Jacob Seiter | Dentist | 2157 Prince St, Conway, AR 72034-3737 | 2015-05-27 |
| 1083032379 | East Oak Dental Pa | Dentist | 1600 E Oak St, Ste B, Conway, AR 72032 | 2014-04-03 |
| 1669800421 | Kidz Choice Conway LLC | Dentist | 2415 Prince St, Suite 105, Conway, AR 72034-3746 | 2013-10-14 |
| 1962782961 | Michael J Maser | Dentist | 1867 Highway 544 Unit B, Conway, SC 29526-8478 | 2011-08-22 |
| Find all providers in CONWAY | ||||
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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.