| Concord Dental Sealant Coalition | |
|
99 Clinton St A-9 Concord School System Concord NH 03301 | |
| (603) 759-8439 | |
| (603) 715-5415 |
| Full Name | Concord Dental Sealant Coalition |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 99 Clinton St, Concord, New Hampshire |
| Authorized Official Name and Position | Janice L Farmer (FISCALAGENT-CONCORD DENTAL SEALANT) |
| Authorized Official Contact | 6037598439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Dental Sealant Coalition 99 Clinton St A-9 Concord NH 03301 Ph: (603) 759-8439 | Concord Dental Sealant Coalition 99 Clinton St A-9 Concord School System Concord NH 03301 Ph: (603) 759-8439 |
| NPI Number | 1497948988 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 12/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497948988 | NPI | - | NPPES |
| 30536696 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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