Organization Name: | NORTHSTAR ENDODONTIC PARTNERS PLLC |
NPI Number: | 1447559323 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW BRADLEY (MEMBER) |
Mailing Address: | 382 Daniel Webster Hwy Merrimack |
State: | NH US |
Postal Code: | 030544152 |
Phone Number: | 6038584011 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2011 |
NPI Last Update Date: | 03/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 3182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |