DANIEL H DE TOLLA, D.D.S., M.D., PA (NPI# 1962620229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962620229 |
| Entity Type | Organization |
| Organization Name | DANIEL H DE TOLLA, D.D.S., M.D., PA |
| Practice Address |
200 Griffin Road Suite 8 Portsmouth NH 03801 |
| Practice Telephone | 6034363608 |
| Practice Fax Number | 6034363646 |
| Mailing Telephone | 6034363608 |
| Mailing Fax Number | 6034363646 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2009-09-08 |
| Authorized Official Name | DR. DANIEL HENRY DE TOLLA (ORAL SURGEON) |
| Authorized Official Telephone | 6034363608 |
| Authorized Official Credential | D.D.S., M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
3472 | NH | Ambulatory Health Care Facilities |
| Street Address |
200 GRIFFIN ROAD SUITE 8 |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174663082 | Lisa Beth Schulman | Dentist | 200 Griffin Road, Suite 9, Portsmouth, NH 03801 | 2007-02-08 |
| 1255501300 | Thoracic & Vascular Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Griffin Road, Unit 6, Portsmouth, NH 03801 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| 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 |
| 1467062935 | Manchester Oral Surgery, Pllc | Clinic/Center | 27 Sagamore St, Manchester, NH 03104-3547 | 2020-08-08 |
| 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 |
| 1437166584 | White Mountain Oral & Maxillofacial Surgery, PC | Clinic/Center | 3277 White Mountain Hwy, North Conway, NH 03860-5113 | 2006-08-02 |
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on DANIEL H DE TOLLA, D.D.S., M.D., 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.