EXETER DENTAL IMPLANT AND ORAL SURGERY CENTER (NPI# 1063024487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063024487 |
| Entity Type | Organization |
| Organization Name | EXETER DENTAL IMPLANT AND ORAL SURGERY CENTER |
| Practice Address |
21 Hampton Rd Ste 202 Exeter NH 03833-4800 |
| Practice Telephone | 6037733333 |
| Practice Fax Number | 6037183096 |
| Mailing Telephone | 6037733333 |
| Mailing Fax Number | 6037183096 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | MRS. HAILEY ELIZABETH GROLEAU (MANAGER) |
| Authorized Official Telephone | 6035278057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
21 HAMPTON RD STE 202 |
| City | EXETER |
| State | NH |
| Zip Code | 03833-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848836 | Leanora Legrand | Social Worker | 10 Hilliard Road, Kensington, NH 03833 | 2015-08-10 |
| 1861890691 | Jennifer Thomas | Nurse Practitioner | 5 Alumni Drv., Exeter Hospital, Exeter, NH 03833 | 2014-12-10 |
| 1578962791 | Through The Trees: Communication Center for Children and Adults | Speech-Language Pathologist | 175 Drinkwater Rd, Kensington, NH 03833 | 2014-08-14 |
| 1225318579 | Bernadette M Blake | Social Worker | 23 Oak Street, Exeter, NH 03833 | 2011-08-18 |
| 1710295746 | Carl Matthew Boscketti | Dentist | 193 High St., Exeter, NH 03833 | 2010-09-24 |
| 1750515870 | Nicole M. Dawson | Chiropractor | 29 Shannon Way, Brentwood, NH 03833 | 2009-05-04 |
| 1841411535 | Diana Lyell I | Specialist | 19 Hampton Road, Exeter, NH 03833 | 2007-05-01 |
| 1922131630 | Ellen Bennett | Physician Assistant | 21 Hampton Rd Bldg 3 Fl 1, Exeter, NH 03833 | 2007-03-13 |
| 1013072008 | Scott Thomas Bleakley | Social Worker | 163 Water Street, Exeter, NH 03833 | 2006-12-27 |
| 1184785289 | J Bruce Bartolini | Internal Medicine | 21 Hampton Rd Bldg. 3, 2nd Fl, Exeter, NH 03833 | 2006-12-12 |
| Find all providers in zip 03833 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295841328 | Gregory L Shaker | Dentist | 18 Hampton Rd., Suite 6, Exeter, NH 03833 | 2006-08-22 |
| 1134398316 | Matrix Health, Inc. | Dentist | 4 Alumni Dr, Exeter, NH 03833-2118 | 2008-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184170755 | Lowell Oral Surgery Associates, Inc | Dentist | 20 Cotton Rd, Suite 202, Nashua, NH 03063-1262 | 2016-09-01 |
| 1821353772 | Jesse Snow | Dentist | 200 Griffin Rd Ste 8, Portsmouth, NH 03801-7145 | 2012-07-06 |
| 1396036208 | David Altobelli | Dentist | 74 Crestwood Dr, Hollis, NH 03049-6003 | 2011-04-26 |
| 1982906467 | White Birch Oral Surgery, Pllc | Dentist | 44 Dover Point Rd Unit C, Dover, NH 03820-4669 | 2010-12-03 |
| 1013191154 | Dr. Charles H. Henry | Dentist | 40 Mechanic Street, Keene, NH 03431 | 2007-12-26 |
| 1962603548 | Vincent Peter Corbett Jr. | Dentist | 134 Walnut Ave, North Hampton, NH 03862-2047 | 2007-05-30 |
| 1871613539 | Great Bay Oral Surgery Associates Pa | Dentist | 259 Route 108, Somersworth, NH 03878-1512 | 2007-03-29 |
| 1871649780 | Mark D Abel | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2007-01-25 |
| 1063502516 | Kyle R Stiefel | Dentist | 166 Plaistow Rd Unit 3, Plaistow, NH 03865-2843 | 2006-10-13 |
| 1073600706 | The Center for Oral and Maxillofacial Surgery Professional Association | Dentist | 16 Airport Road, West Lebanon, NH 03766-1681 | 2006-10-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.