| Conway Village Dental Pllc | |
|
7 Greenwood Ave Suite 3 Conway NH 03818-6130 | |
| (603) 447-6707 | |
| (603) 447-8376 |
| Full Name | Conway Village Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7 Greenwood Ave, Conway, New Hampshire |
| Authorized Official Name and Position | George Gerard Ryan (OWNER) |
| Authorized Official Contact | 6034476707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Village Dental Pllc 7 Greenwood Ave Suite 3 Conway NH 03818-6130 Ph: (603) 447-6707 | Conway Village Dental Pllc 7 Greenwood Ave Suite 3 Conway NH 03818-6130 Ph: (603) 447-6707 |
| NPI Number | 1720248248 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720248248 | NPI | - | NPPES |
| 139600000 | Medicaid | ME | |
| 99002725 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (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 | |
Conway Village Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21a Poliquin Drive, Conway, NH 03818 Phone: 603-447-6707 Fax: 603-447-8376 | |
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 |