| Concord Oral Surgery Professional Association | |
|
194 Pleasant St Suite 13 Concord NH 03301-2952 | |
| (603) 225-3482 | |
| (603) 224-2331 |
| Full Name | Concord Oral Surgery Professional Association |
|---|---|
| Speciality | Dentist |
| Location | 194 Pleasant St, Concord, New Hampshire |
| Authorized Official Name and Position | Mark M. Scura (PRESIDENT) |
| Authorized Official Contact | 6032253482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Oral Surgery Professional Association 194 Pleasant St Suite 13 Concord NH 03301-2952 Ph: (603) 225-3482 | Concord Oral Surgery Professional Association 194 Pleasant St Suite 13 Concord NH 03301-2952 Ph: (603) 225-3482 |
| NPI Number | 1144272352 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 01/14/2015 |
| Medicare PECOS PAC ID | 0648281436 |
|---|---|
| Medicare Enrollment ID | O20060508000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144272352 | NPI | - | NPPES |
| 89191315 | Medicaid | NH | |
| 129 | Other | NH | CIGNA |
| H000186 | Other | NH | CHAMPUS |
| 1053 | Other | NH | NORTHEAST DELTA DENTAL |
| CONC1315 | Other | NH | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2186 (New Hampshire) | Primary |
| Provider Name | Mark M Scura |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750333969 PECOS PAC ID: 9931144219 Enrollment ID: I20050627001199 |
| Provider Name | Patrick B Vaughan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144496464 PECOS PAC ID: 9830267079 Enrollment ID: I20081001000446 |
| Provider Name | Christy M Lottinger |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1881034262 PECOS PAC ID: 1052549185 Enrollment ID: I20230921000131 |
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Saving People's Smile Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 Pleasant St, Suite 6, Concord, NH 03301 Phone: 603-219-0770 Fax: 603-219-0337 | |
Cariedaway Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Delta Dr Ste 301, Concord, NH 03301 Phone: 917-280-5920 | |
Gregg T. Hillery Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 12 South State Street, Concord, NH 03301 Phone: 603-224-2555 | |
Concord Endodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 N State St, Concord, NH 03301 Phone: 603-228-5577 | |
Ronald Mcdonald Care Mobile Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 Pleasant St, Suite #6, Concord, NH 03301 Phone: 603-219-0770 |