RALPH P. ERGAS DMD LYNNETTE NYBERG DMD MSD PA (NPI# 1255548806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255548806 |
| Entity Type | Organization |
| Organization Name | RALPH P. ERGAS DMD LYNNETTE NYBERG DMD MSD PA |
| Practice Address |
1100 Bicentennial Dr Manchester NH 03104-2140 |
| Practice Telephone | 6036227500 |
| Practice Fax Number | 6036225648 |
| Mailing Telephone | 6036227500 |
| Mailing Fax Number | 6036225648 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RALPH PETER ERGAS (OWNER) |
| Authorized Official Telephone | 6036227500 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2545 | NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30304944 | 05 |
| Street Address |
1100 BICENTENNIAL DR |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720154412 | Lynnette Ann Nyberg | Dentist | 1100 Bicentennial Dr, Manchester, NH 03104-2140 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1184087058 | Allure Dental, Inc | Dentist | 50 S Main St, Manchester, NH 03102-4405 | 2016-03-30 |
| 1154798247 | Sph3 Enterprise LLC | Dentist | 194 Buckland Hills Dr, Suite 1076, Manchester, CT 06042-8705 | 2015-08-25 |
| 1477745602 | Paul E. Honeycutt, Dds | Dentist | 1240 Mcarthur St, Manchester, TN 37355-2445 | 2007-08-12 |
| 1942422969 | Robert Lloyd Childress | Dentist | 1240 Mcarthur St, Manchester, TN 37355-2445 | 2007-05-02 |
| 1851329510 | Pediatric Dental Assoc P.C. | Dentist | 192 Main St, Manchester, CT 06042-3581 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054417 | Children's Dentistry of Dublin Pllc | Dentist | 1283 Main St, Dublin, NH 03444-8242 | 2020-02-05 |
| 1831584929 | Great Outdoors Pediatric Dentistry | Dentist | 6 Old Rochester Rd, 301, Dover, NH 03820-2027 | 2015-04-06 |
| 1194016246 | Adam Joash Bottrill | Dentist | 13 March Farm Way Unit A, Greenland, NH 03840-6235 | 2011-04-25 |
| 1326358680 | Collins Dentistry for Children | Dentist | 76 Allds St Ste 5, Nashua, NH 03060-4704 | 2010-10-20 |
| 1831415249 | Jonathan Edward Norris | Dentist | 165 Winchester St, Keene, NH 03431-4634 | 2010-04-09 |
| 1437397064 | Alison E Gomes | Dentist | 1505 First New Hampshire Tpke, Northwood, NH 03261-3217 | 2009-02-04 |
| 1821293432 | Nilfa Encarnacion Collins | Dentist | 100 Bridge Street, Pelham, NH 03076-0728 | 2007-06-15 |
| 1184849598 | Dr. Keith Eveland | Dentist | 111 Bow Street, Portsmouth, NH 03801 | 2007-04-13 |
| 1235274812 | Keith Ware Eveland | Dentist | 111 Bow St, Portsmouth, NH 03801-3838 | 2007-02-21 |
| 1659430080 | Richard James Spence | Dentist | 92 South St, Claremont, NH 03743-3180 | 2006-12-08 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
Please comment or provide details below to improve the information on RALPH P. ERGAS DMD LYNNETTE NYBERG DMD MSD PA.
| 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.