| Conway Village Dental | |
|
21a Poliquin Drive Conway NH 03818 | |
| (603) 447-6707 | |
| (603) 447-8376 |
| Full Name | Conway Village Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21a Poliquin Drive, Conway, New Hampshire |
| Authorized Official Name and Position | Julie Ann Dudevoir-badger (CEO) |
| Authorized Official Contact | 6034476707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Village Dental 21a Poliquin Drive Conway NH 03818 Ph: (603) 447-6707 | Conway Village Dental 21a Poliquin Drive Conway NH 03818 Ph: (603) 447-6707 |
| NPI Number | 1528480902 |
|---|---|
| Provider Enumeration Date | 01/20/2014 |
| Last Update Date | 02/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528480902 | NPI | - | NPPES |
| 3080677 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Sevigny Family Dental Pllc Dba Conway Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Washington St, Conway, NH 03818 Phone: 603-447-3888 Fax: 800-348-3471 | |
Dr. George Ryan Jr. Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Greenwood Ave, Suite #3, Conway, NH 03818 Phone: 603-447-6707 Fax: 603-447-8376 | |
Conway Village Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Greenwood Ave, Suite 3, Conway, NH 03818 Phone: 603-447-6707 Fax: 603-447-8376 |