White Birch Oral Surgery, Pllc | |
44 Dover Point Rd Unit C Dover NH 03820-4669 | |
(603) 740-1414 | |
(603) 740-0111 |
Full Name | White Birch Oral Surgery, Pllc |
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Speciality | Dentist |
Location | 44 Dover Point Rd Unit C, Dover, New Hampshire |
Authorized Official Name and Position | Peter P Reich (PHYSICIAN/OWNER) |
Authorized Official Contact | 6037401414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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White Birch Oral Surgery, Pllc 44 Dover Point Rd Unit C Dover NH 03820-4669 Ph: (603) 740-1414 | White Birch Oral Surgery, Pllc 44 Dover Point Rd Unit C Dover NH 03820-4669 Ph: (603) 740-1414 |
NPI Number | 1982906467 |
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Provider Enumeration Date | 12/03/2010 |
Last Update Date | 08/10/2016 |
Medicare PECOS PAC ID | 8022295591 |
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Medicare Enrollment ID | O20110609000345 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982906467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3261 (New Hampshire) | Primary |
Provider Name | Peter P Reich |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1689793523 PECOS PAC ID: 7911184486 Enrollment ID: I20110609000454 |
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