NORTH MANCHESTER ORAL AND MAXILLOFACIAL SURGERY, PLLC (NPI# 1417114687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417114687 |
| Entity Type | Organization |
| Organization Name | NORTH MANCHESTER ORAL AND MAXILLOFACIAL SURGERY, PLLC |
| Practice Address |
27 Sagamore St Manchester NH 03104-3547 |
| Practice Telephone | 6036229441 |
| Practice Fax Number | 6036229738 |
| Mailing Telephone | 6036229441 |
| Mailing Fax Number | 6036229738 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | DR. MARK GERARD HOCHBERG (OWNER) |
| Authorized Official Telephone | 6036229441 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2640 | NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30008392 | 05 |
| Street Address |
27 SAGAMORE ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871649780 | Mark D Abel | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2007-01-25 |
| 1467062935 | Manchester Oral Surgery, Pllc | Clinic/Center | 27 Sagamore St, Manchester, NH 03104-3547 | 2020-08-08 |
| 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 | 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 |
|---|---|---|---|---|
| 1871649780 | Mark D Abel | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2007-01-25 |
| 1205197647 | Matthew Nichols Dds Oral and Facial Surgery Pllc | Dentist | 1425 Mcarthur St, Manchester, TN 37355-2517 | 2012-06-01 |
| 1477707081 | Rosenlicht Surgery Center | Dentist | 483 Middle Tpke W, Suite 102, Manchester, CT 06040-3863 | 2008-11-10 |
| 1760659544 | Gopi K. Voonna | Dentist | 1 Elliot Way, Manchester, NH 03103-3502 | 2008-05-12 |
| 1174736920 | Prindiville, Peracchio & Saunders, Dmd PC | Dentist | 945 Main St, Suite 310, Manchester, CT 06040-6064 | 2007-05-08 |
| 1407984412 | Kimberlyn Darlene Fowler | Dentist | 555 Auburn St, Manchester, NH 03103 | 2007-03-01 |
| 1922105352 | John Charles Mccabe | Dentist | 483 W Middle Tpke, Ste-200, Manchester, CT 06040 | 2006-09-20 |
| 1295744118 | Joel Lawrence Rosenlicht | Dentist | 483 Middle Tpke W, Manchester, CT 06040-3863 | 2006-08-07 |
| 1497774152 | Ryaz Ansari | Dentist | 483 Middle Tpke W, Suite 102, Manchester, CT 06040-3863 | 2006-07-19 |
| 1457316473 | William P Dobbin | Dentist | 4 Elliot Way, Manchester, NH 03103-3547 | 2006-04-20 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
Please comment or provide details below to improve the information on NORTH MANCHESTER ORAL AND MAXILLOFACIAL SURGERY, PLLC.
| 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.