| Brentwood Dental Designs, Pllc | |
|
1 Brickyard Sq Suite 5 Epping NH 03042-4402 | |
| (603) 679-3679 | |
| (603) 679-3779 |
| Full Name | Brentwood Dental Designs, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Brickyard Sq, Epping, New Hampshire |
| Authorized Official Name and Position | Tamatha L Johnson (OWNER/DENTIST) |
| Authorized Official Contact | 6036793679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Dental Designs, Pllc 1 Brickyard Sq Suite 5 Epping NH 03042-4402 Ph: (603) 679-3679 | Brentwood Dental Designs, Pllc 1 Brickyard Sq Suite 5 Epping NH 03042-4402 Ph: (603) 679-3679 |
| NPI Number | 1275884132 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275884132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 03591 (New Hampshire) | Primary |
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