| Locust Street Dental | |
|
303 Locust Street Dover NH 03820 | |
| (603) 749-2424 | |
| Not Available |
| Full Name | Locust Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 303 Locust Street, Dover, New Hampshire |
| Authorized Official Name and Position | Cheryl Ann Boyd (DENTIST) |
| Authorized Official Contact | 6037492424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Locust Street Dental 303 Locust Street Dover NH 03820 Ph: (603) 749-2424 | Locust Street Dental 303 Locust Street Dover NH 03820 Ph: (603) 749-2424 |
| NPI Number | 1588877443 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588877443 | NPI | - | NPPES |
| 30302260 | Medicaid | NH | |
| 30312259 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3180NH (New Hampshire) | Primary |
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