Winnisquam Dental | |
944 Laconia Road Winnisquam NH 03289-1020 | |
(603) 528-1212 | |
(603) 528-1320 |
Full Name | Winnisquam Dental |
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Speciality | Dentist - General Practice |
Location | 944 Laconia Road, Winnisquam, New Hampshire |
Authorized Official Name and Position | Derek R Blackwelder (DENTIST / OWNER) |
Authorized Official Contact | 6035281212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Winnisquam Dental Po Box 1020 944 Laconia Road Winnisquam NH 03289-1020 Ph: (603) 528-1212 | Winnisquam Dental 944 Laconia Road Winnisquam NH 03289-1020 Ph: (603) 528-1212 |
NPI Number | 1427099233 |
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Provider Enumeration Date | 06/10/2006 |
Last Update Date | 01/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427099233 | NPI | - | NPPES |
30316266 | Medicaid | NH | |
685235 | Other | NH | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (New Hampshire) | Primary |