| North Country Dental | |
|
22 Exchange St Gorham NH 03581-1604 | |
| (603) 466-5015 | |
| (603) 466-5791 |
| Full Name | North Country Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22 Exchange St, Gorham, New Hampshire |
| Authorized Official Name and Position | Paul C Schoenbeck (PRESIDENT) |
| Authorized Official Contact | 6034665015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Dental 22 Exchange St Gorham NH 03581-1604 Ph: (603) 466-5015 | North Country Dental 22 Exchange St Gorham NH 03581-1604 Ph: (603) 466-5015 |
| NPI Number | 1912994617 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912994617 | NPI | - | NPPES |
| 30008535 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Gorham Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Park St, Gorham, NH 03581 Phone: 603-466-2323 |