| Lakeside Smiles Pediatric Dentistry, Pllc | |
|
82 Main St. Alton NH 03809-1498 | |
| (603) 280-4500 | |
| (603) 632-3620 |
| Full Name | Lakeside Smiles Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 82 Main St., Alton, New Hampshire |
| Authorized Official Name and Position | Andrew Hall (BUSINESS MANAGER) |
| Authorized Official Contact | 6032804500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Smiles Pediatric Dentistry, Pllc Po Box 1498 Alton NH 03809-1498 Ph: (603) 280-4500 | Lakeside Smiles Pediatric Dentistry, Pllc 82 Main St. Alton NH 03809-1498 Ph: (603) 280-4500 |
| NPI Number | 1255671178 |
|---|---|
| Provider Enumeration Date | 03/01/2013 |
| Last Update Date | 03/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255671178 | NPI | - | NPPES |
| 3108842 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN17086 (Florida) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Alton Bay Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 Main Street, Alton, NH 03809 Phone: 603-855-2017 |