| Main Street Dental | |
|
107 Main Street Plymouth NH 03264 | |
| (603) 536-4009 | |
| (603) 536-1033 |
| Full Name | Main Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 107 Main Street, Plymouth, New Hampshire |
| Authorized Official Name and Position | Lori Edmonds (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental 107 Main Street Plymouth NH 03264 Ph: (603) 536-4009 | Main Street Dental 107 Main Street Plymouth NH 03264 Ph: (603) 536-4009 |
| NPI Number | 1497979918 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497979918 | NPI | - | NPPES |
| 30300441 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (New Hampshire) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
Plymouth Dentistry & Implants, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Main St, Plymouth, NH 03264 Phone: 603-536-1445 | |
School Dental Program Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Hospital Rd, Plymouth, NH 03264 Phone: 603-536-1120 | |
Plymouth Dental Group, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Town West Rd, Plymouth, NH 03264 Phone: 603-536-4900 | |
Brand & Sawicki, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Town West Rd, Plymouth, NH 03264 Phone: 603-536-4900 Fax: 603-536-3216 | |
Plymouth General Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Highland St, Plymouth, NH 03264 Phone: 603-536-4301 Fax: 603-536-1984 | |
Plymouth General Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Highland St, Plymouth, NH 03264 Phone: 603-536-4301 Fax: 603-536-1984 |