Organization Name: | SEACOAST ORTHODONTICS |
NPI Number: | 1801029277 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY FINELLI (ORTHODONTIST) |
Mailing Address: | 45 Lafayette Rd Suite 14 North Hampton |
State: | NH US |
Postal Code: | 038622451 |
Phone Number: | 6039642220 |
Fax Number: | 6039642244 |
NPI Enumeration Date: | 09/01/2009 |
NPI Last Update Date: | 09/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 03640 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |