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3310 Main Street Bethlehem NH 03574-5003 | |
| (603) 869-3112 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3310 Main Street, Bethlehem, New Hampshire |
| Authorized Official Name and Position | Peter Low (OWNER) |
| Authorized Official Contact | 6038693112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 643 Bethlehem NH 03574-0643 Ph: (603) 869-3112 | 3310 Main Street Bethlehem NH 03574-5003 Ph: (603) 869-3112 |
| NPI Number | 1083883581 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083883581 | NPI | - | NPPES |
| 30009154 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1103 (New Hampshire) | Primary |