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55 E Broadway Unit 1 Derry NH 03038-2401 | |
| (781) 647-0772 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 55 E Broadway Unit 1, Derry, New Hampshire |
| Authorized Official Name and Position | Michael Angelo Scialabba (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5615122709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
200 5th Ave Fl 3 Waltham MA 02451-8759 Ph: (781) 647-0772 | 55 E Broadway Unit 1 Derry NH 03038-2401 Ph: (781) 647-0772 |
| NPI Number | 1710532577 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710532577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Scott Copeland Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 E Broadway, Derry, NH 03038 Phone: 603-437-0331 Fax: 603-437-5096 | |
Derry Braces Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Crystal Ave, Derry, NH 03038 Phone: 603-434-6433 | |
Ahern & Nichols Family Dentistry,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Pinkerton St, Derry, NH 03038 Phone: 603-432-5039 Fax: 603-425-2873 | |
Charles C Banister Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Birch St, Derry, NH 03038 Phone: 603-432-3335 Fax: 603-434-8593 | |
Brenda D Berkal Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Birch St, Derry, NH 03038 Phone: 603-434-4090 Fax: 603-434-7940 | |
Northeast Mobile Dental Service, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Pinkerton St, Derry, NH 03038 Phone: 603-432-5039 Fax: 603-425-2873 |