| Granite State Oral Surgery Pllc | |
|
80 Nashua Rd Building C Londonderry NH 03053-3426 | |
| (603) 432-3308 | |
| (603) 425-6165 |
| Full Name | Granite State Oral Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 80 Nashua Rd, Londonderry, New Hampshire |
| Authorized Official Name and Position | Salman Ayub Malik (OWNER) |
| Authorized Official Contact | 6034323308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite State Oral Surgery Pllc 80 Nashua Rd Building C Londonderry NH 03053-3426 Ph: (603) 432-3308 | Granite State Oral Surgery Pllc 80 Nashua Rd Building C Londonderry NH 03053-3426 Ph: (603) 432-3308 |
| NPI Number | 1801097654 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801097654 | NPI | - | NPPES |
| 1417977737 | Other | NH | TYPE 1 NPI |
| 30312701 | Medicaid | NH | |
| 0206381Y0NH01 | Other | NH | ANTHEM ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3025 (New Hampshire) | Primary |
Daniel A. Vasquez, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Rockingham Road, Londonderry, NH 03053 Phone: 603-437-8204 Fax: 603-623-6564 | |
Agata A. Bartels Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1f Commons Dr Unit 36, Londonderry, NH 03053 Phone: 603-434-0190 | |
Nanarao Krothapalli D.m.d.pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Nashua Rd, Unit#d-3, Londonderry, NH 03053 Phone: 603-432-6430 | |
Townesquare Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Parmenter Rd, B-2, Londonderry, NH 03053 Phone: 978-821-3563 | |
Apple Tree Orthodontics, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Gilcreast Rd, Suite 3000, Londonderry, NH 03053 Phone: 603-434-0190 Fax: 603-421-9550 | |
New England Dental Group-londonderry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Buttrick Rd Ste 2, Londonderry, NH 03053 Phone: 603-434-2700 | |
Modern Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1f Commons Dr Unit 39, Londonderry, NH 03053 Phone: 603-552-3632 Fax: 603-818-4903 |