PARK DENTAL GROUP - TILTON PLLC (NPI# 1912329731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912329731 |
| Entity Type | Organization |
| Organization Name | PARK DENTAL GROUP - TILTON PLLC |
| Other Organization Name | ASPEN DENTAL |
| Practice Address |
17 Lowes Dr Tilton NH 03276 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 6032864221 |
| Mailing Telephone | 3154546000 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | YOUNG CHAN PARK (DENTIST/OWNER) |
| Authorized Official Telephone | 3154546000 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3396 | NH | Dental Providers |
| Other Name | Type Code |
|---|---|
| Aspen Dental | Doing Business As Name - Organization |
| Street Address |
17 LOWES DR |
| City | TILTON |
| State | NH |
| Zip Code | 03276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306262373 | Pranali Amin | Dentist | 17 Lowes Drive, Tilton, NH 03276 | 2014-03-13 |
| 1235368218 | Spaulding Youth Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 130 Shedd Road, Northfield, NH 03276 | 2009-07-10 |
| 1477739175 | Spaulding Youth Center | Community/Behavioral Health | 130 Shedd Rd, Northfield, NH 03276 | 2008-01-14 |
| 1093928558 | Rita Marie Krupa | Physical Therapist | 175 Blueberry Lane, Laconia, NH 03276 | 2007-05-08 |
| 1962622209 | Jean-paul Rabbath, Dmd, Pllc | Dentist | 468 W. Main St, Tilton, NH 03276 | 2007-04-27 |
| 1881814127 | Jean-paul Rabbath | Dentist | 468 West Main St, Tilton, NH 03276 | 2007-04-27 |
| 1811998719 | Amy L Michaud | Optometrist | 39 East Main Street, Tilton, NH 03276 | 2005-08-02 |
| 1427115344 | Sharon Wolf | Counselor | Rand Road, Tilton, NH 03276-0253 | 2007-01-02 |
| 1356977862 | Sarah O Walsh | Home Health Aide | 15 Cottage St, Northfield, NH 03276-1504 | 2020-03-16 |
| 1295151926 | Katherine Mckinster | Speech-Language Pathologist | 5 Elm St, Northfield, NH 03276-1506 | 2014-03-05 |
| Find all providers in zip 03276 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689922858 | Shruti Apte | Dentist | 468 W Main St, Tilton, NH 03276-5020 | 2012-08-20 |
| 1962622209 | Jean-paul Rabbath, Dmd, Pllc | Dentist | 468 W. Main St, Tilton, NH 03276 | 2007-04-27 |
| 1275610461 | John Gill | Dentist | 363 W Main St, Tilton, NH 03276-5010 | 2006-11-01 |
| 1952337743 | Stephen Douglas Peer | Dentist | 363 W Main St, Tilton, NH 03276-5010 | 2006-06-23 |
| 1265476535 | Gentle Dental Care PC | Dentist | 363 W Main St, Tilton, NH 03276-5010 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020693 | Rachel Hancock | Dentist | 367 Nh 120, Lebanon, NH 03766-1430 | 2020-07-09 |
| 1922622968 | Jeremy Ken Anderson | Dentist | 9 Triangle Park Dr Ste 3, Concord, NH 03301-5790 | 2020-06-05 |
| 1659904464 | Michael R Buchler Dmd Pllc | Dentist | 1 Delahunty Dr Ste 2, Windham, NH 03087-2019 | 2020-02-20 |
| 1396385993 | Miles of Smiles Pllc | Dentist | 182 Rockingham Rd Unit 13, Londonderry, NH 03053-2155 | 2020-01-10 |
| 1528626660 | Stephanie Danielle Gibbons | Dentist | 5 Dawn St, Salem, NH 03079-3231 | 2019-06-04 |
| 1679137228 | Oasis Dental, P.C. | Dentist | 1525 S Willow St Unit 5, Manchester, NH 03103-3209 | 2019-04-30 |
| 1336634039 | John C Pavlakis | Dentist | 650 Court St Ste 4, Keene, NH 03431-1759 | 2018-06-25 |
| 1942792379 | Kathleen Takach | Dentist | Mascoma Community Healthcare, 18 Roberts Road, Canaan, NH 03741 | 2018-06-01 |
| 1336654862 | Manchester Dentistry & Implants Pllc | Dentist | 43 Duncan Farms, Manchester, NH 03102-2363 | 2017-12-06 |
| 1528579232 | Min Zhu | Dentist | 159 Main Dunstable Rd Ste 103, Nashua, NH 03060-3642 | 2017-10-20 |
| 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.