| Pittsfield Family Dental Center Llc | |
|
50 Manchester St Pittsfield NH 03263-3401 | |
| (603) 435-8030 | |
| (603) 435-8107 |
| Full Name | Pittsfield Family Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 50 Manchester St, Pittsfield, New Hampshire |
| Authorized Official Name and Position | Fredrick M Vega (MANAGING MEMBER) |
| Authorized Official Contact | 6034358030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pittsfield Family Dental Center Llc 50 Manchester St Pittsfield NH 03263-3401 Ph: (603) 435-8030 | Pittsfield Family Dental Center Llc 50 Manchester St Pittsfield NH 03263-3401 Ph: (603) 435-8030 |
| NPI Number | 1700153947 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 11/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700153947 | NPI | - | NPPES |
| 30007856 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1857 (New Hampshire) | Primary |
Pittsfield Family Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Manchester St, Pittsfield, NH 03263 Phone: 603-435-8030 Fax: 603-435-8107 |