DR. LYNNETTE ANN NYBERG (NPI# 1720154412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720154412 |
| Entity Type | Individual |
| Full Name | DR. LYNNETTE ANN NYBERG |
| Credential | DMD |
| Practice Address |
1100 Bicentennial Dr Manchester NH 03104-2140 |
| Practice Telephone | 6036227500 |
| Practice Fax Number | 6036225648 |
| Mailing Telephone | 6036227500 |
| Mailing Fax Number | 6036225648 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2530 | NH | Dental Providers |
| Street Address |
1100 BICENTENNIAL DR |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255548806 | Ralph P. Ergas Dmd Lynnette Nyberg Dmd Msd Pa | Dentist | 1100 Bicentennial Dr, Manchester, NH 03104-2140 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598886244 | Steven Wallace Hough | Dentist | 673 Big Bend Rd, Manchester, MO 63021-7723 | 2007-04-02 |
| 1720171499 | Stanley Pearlson Dmd, PC | Dentist | 361 East Center Street, Manchester, CT 06040-4445 | 2006-10-02 |
| 1982712477 | Nicholas Marshall Jr. | Dentist | 835 Hanover Street, Suite 202, Manchester, NH 03104 | 2006-08-26 |
| 1528072550 | Richard C Osofsky Dmd Prof Assn | Dentist | 73 Pleasant Street, Manchester, NH 03101-2319 | 2006-07-27 |
| 1043246671 | Stanley Pearlson | Dentist | 361 E Center St, Manchester, CT 06040-4445 | 2006-06-24 |
| 1811933575 | William A Mehan | Dentist | 113 Mammoth Rd, Manchester, NH 03109-4337 | 2006-06-21 |
| 1033100599 | Robert M. Waxler, D.m.d.,m.s.,jeffery T. Cavanaugh, D.d.s.,p.c. | Dentist | 410 Sovereign Ct, Ste 19, Manchester, MO 63011-4400 | 2005-11-03 |
| 1083602049 | Robert B Pickard | Dentist | 121 Baxter Shops, Manchester, MO 63011-3800 | 2005-10-12 |
| 1164046645 | Manchester Dentistry and Braces Inc | Dentist | 460 Elm St, Manchester, NH 03101-2701 | 2020-06-01 |
| 1316450398 | Hough Orthodontics, Inc. | Dentist | 673 Big Bend Rd, Manchester, MO 63021-7723 | 2017-11-13 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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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.