KATHLEEN TAKACH (NPI# 1942792379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942792379 |
| Entity Type | Individual |
| Full Name | KATHLEEN TAKACH |
| Credential | DMD, MPH |
| Practice Address |
Mascoma Community Healthcare 18 Roberts Road Canaan NH 03741 |
| Mailing Address |
20 Morgan Dr Unit 35 Lebanon NH 03766-1484 |
| Practice Telephone | 6035234258 |
| Practice Fax Number | 6035234258 |
| Mailing Telephone | 2072539434 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
04407 | NH | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Ammonoosuc Community Health Services, 25 Mt. Eustis Rd, Littleton, NH 03561 | 6034442464 |
| Street Address |
MASCOMA COMMUNITY HEALTHCARE 18 ROBERTS ROAD |
| City | CANAAN |
| State | NH |
| Zip Code | 03741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942767017 | Town of Canaan | Ambulance | 56 Nh Rt 118, Canaan, NH 03741 | 2019-02-26 |
| 1972830123 | Elena Michelle Sutfin Vanzandt | Counselor | 44 Roberts Road, Canaan, NH 03741 | 2009-11-09 |
| 1689826299 | Katrina J. Deshaney | Physician Assistant | 18 Roberts Rd, Canaan, NH 03741 | 2008-10-14 |
| 1194739672 | Frederick Keyser Wiese | Internal Medicine | 18 Roberts Road, Canaan, NH 03741 | 2006-07-28 |
| 1700808953 | Ann Margaret Laumann | Nurse Practitioner | 1192 Us Rt. 4, Canaan, NH 03741 | 2006-07-24 |
| 1194759084 | Michael J Craig | Orthopaedic Surgery | 55 Cove Rd, Canaan, NH 03741 | 2006-07-10 |
| 1942783287 | Karl Wilson Stanford | Nurse Practitioner | 18 Roberts Road, Canaan, NH 03741 | 2018-09-12 |
| 1497298087 | Mascoma Community Healthcare Inc | Clinic/Center | 18 Roberts Road, Canaan, NH 03741 | 2016-11-30 |
| 1124016514 | Canaan First Aid and Safety Team Inc | Ambulance | Rte 118, Canaan, NH 03741-0035 | 2005-10-10 |
| 1700042728 | Kristen Marie Tobin | Specialist/Technologist | 62 Alumni Dr, Canaan, NH 03741-7210 | 2008-07-29 |
| Find all providers in zip 03741 | ||||
| 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 |
|---|---|---|---|---|
| 1962527762 | Thomas Livingstone | Dentist | 3 Railroad St., Canaan, CT 06018 | 2007-03-20 |
| 1003044157 | John Dannon | Dentist | 60 Church St, Canaan, CT 06018-2481 | 2009-06-29 |
| 1518997436 | Robert James Bird Jr. | Dentist | 60 Church St, Canaan, CT 06018-2481 | 2006-07-04 |
| 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 |
| 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 |
| 1104336510 | Malvika Singh | Dentist | 131 Nh 101a Ste 1, Amherst, NH 03031-2215 | 2017-10-11 |
| 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.