| Dover Pediatric Dentistry & Orthodontics Pllc | |
|
750 Central Ave Suite K Dover NH 03820-3434 | |
| (603) 743-6000 | |
| Not Available |
| Full Name | Dover Pediatric Dentistry & Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 750 Central Ave, Dover, New Hampshire |
| Authorized Official Name and Position | Gary Don Wendell (DOCTOR / DENTIST) |
| Authorized Official Contact | 6036863928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dover Pediatric Dentistry & Orthodontics Pllc 750 Central Ave Suite K Dover NH 03820-3434 Ph: (603) 743-6000 | Dover Pediatric Dentistry & Orthodontics Pllc 750 Central Ave Suite K Dover NH 03820-3434 Ph: (603) 743-6000 |
| NPI Number | 1780094763 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 04/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780094763 | NPI | - | NPPES |
| 3081208 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3134 (New Hampshire) | Primary |
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