| Kenneth G Edwards | |
|
109 Ponemah Rd Amherst NH 03031-2834 | |
| (603) 673-0782 | |
| (603) 673-4747 |
| Full Name | Kenneth G Edwards |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 109 Ponemah Rd, Amherst, New Hampshire |
| Authorized Official Name and Position | Kenneth G Edwards (OWNER) |
| Authorized Official Contact | 6036730782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth G Edwards Po Box 926 Amherst NH 03031-0926 Ph: (603) 673-0782 | Kenneth G Edwards 109 Ponemah Rd Amherst NH 03031-2834 Ph: (603) 673-0782 |
| NPI Number | 1649661885 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 02/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649661885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 01693 (New Hampshire) | Primary |
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