MANCHESTER ORAL SURGERY, PLLC (NPI# 1467062935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467062935 |
| Entity Type | Organization |
| Organization Name | MANCHESTER ORAL 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 | 2020-08-08 |
| Last Update Date | 2020-08-08 |
| Authorized Official Name | DR. MARK D ABEL (SOLE MEMBER) |
| Authorized Official Telephone | 6036229441 |
| Authorized Official Credential | DMD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| 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 |
| 1417114687 | North Manchester Oral and Maxillofacial Surgery, Pllc | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2008-05-16 |
| 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 | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1154525624 | Nhoms, Pllc | Clinic/Center | 33 Trafalgar Sq, Suite 201, Nashua, NH 03063-4900 | 2007-06-11 |
| 1265647598 | Charles J Burliss Dmd Mscd PC | Clinic/Center | 12 Stiles Rd Ste 203, Salem, NH 03079-2881 | 2007-05-11 |
| 1104430131 | Plaistow Dental Implant and Oral Surgery Center | Clinic/Center | 166 Plaistow Rd Unit 3, Plaistow, NH 03865-2843 | 2020-09-08 |
| 1043636616 | Hanover Oral Surgery Pllc | Clinic/Center | 367 Route 120, Unit E-1, Lebanon, NH 03766-1430 | 2014-03-06 |
| 1407133234 | Shauna L.gauthier Dmd Pllc | Clinic/Center | 96 High St, Laconia, NH 03246-3537 | 2011-11-08 |
| 1043452923 | Dave C Pak Dmd Md Pa | Clinic/Center | 123 Washington St, Rochester, NH 03839-5505 | 2009-03-24 |
| 1962620229 | Daniel H De Tolla, D.d.s., M.d., Pa | Clinic/Center | 200 Griffin Road, Suite 8, Portsmouth, NH 03801 | 2007-04-23 |
| 1437166584 | White Mountain Oral & Maxillofacial Surgery, PC | Clinic/Center | 3277 White Mountain Hwy, North Conway, NH 03860-5113 | 2006-08-02 |
| City | MANCHESTER |
| Zip Code | 03104 |
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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.