| Hanover Road Dental Health, Pa | |
|
367 Route 120 Bldg. D Lebanon NH 03766 | |
| (603) 643-4362 | |
| (603) 643-4340 |
| Full Name | Hanover Road Dental Health, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 367 Route 120 Bldg. D, Lebanon, New Hampshire |
| Authorized Official Name and Position | Terry Bradigan (OWNER) |
| Authorized Official Contact | 6036434362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanover Road Dental Health, Pa 367 Route 120 Bldg. D Lebanon NH 03766 Ph: (603) 643-4362 | Hanover Road Dental Health, Pa 367 Route 120 Bldg. D Lebanon NH 03766 Ph: (603) 643-4362 |
| NPI Number | 1164596227 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 06/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164596227 | NPI | - | NPPES |
| 30314128 | Medicaid | NH | |
| 3071380 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2601 (New Hampshire) | Primary |
George Petrescu-boboc Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Campbell St, Lebanon, NH 03766 Phone: 603-448-4200 | |
Thomas A Johnston & Associates, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Heater Rd, Lebanon, NH 03766 Phone: 603-448-1940 Fax: 603-448-1228 | |
Hyland Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 367 Route 120 Bldg D, Lebanon, NH 03766 Phone: 603-643-4362 Fax: 603-643-4340 | |
True Point Dental-nh, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Heater Rd, Lebanon, NH 03766 Phone: 603-448-1940 Fax: 603-448-1228 | |
Upper Valley Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Alice Peck Day Dr, Lebanon, NH 03766 Phone: 603-443-9548 Fax: 603-442-5144 | |
Montshire Endodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 367 State Route 120, Unit B-3, Lebanon, NH 03766 Phone: 603-643-6100 |