LEBANON DENTAL CENTRE (NPI# 1972707651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972707651 |
| Entity Type | Organization |
| Organization Name | LEBANON DENTAL CENTRE |
| Practice Address |
31 Old Etna Rd Suite 4 Lebanon NH 03766-1933 |
| Practice Telephone | 6034482100 |
| Practice Fax Number | 6034439958 |
| Mailing Telephone | 6034482100 |
| Mailing Fax Number | 6034439958 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANGELINA SANTA MARIA (ADMINISTRATOR) |
| Authorized Official Telephone | 6034482100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3516 | NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1003969023 | 01 | |
| CT | NPI | 1114950607 | 01 |
| NH | 30314064 | 05 |
| Street Address |
31 OLD ETNA RD SUITE 4 |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474761 | Patrick Christian Noble | Dentist | 31 Old Etna Rd, Lebanon, NH 03766-1933 | 2005-08-17 |
| 1033735816 | Rohan Jayeshkumar Shah | Dentist | 31 Old Etna Rd, Lebanon, NH 03766-1933 | 2020-06-17 |
| 1508096652 | Archana Sharma | Dentist | 31 Old Etna Rd, Suite# 4, Lebanon, NH 03766-1933 | 2009-07-23 |
| 1902837206 | Christopher James Root | Dentist | 31 Old Etna Rd, Suites N1 and N2, Lebanon, NH 03766-1933 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| 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 |
|---|---|---|---|---|
| 1902414436 | University Smiles LLC | Dentist | 229 W Saint Louis St # Sr, Lebanon, IL 62254-1515 | 2020-07-21 |
| 1962020693 | Rachel Hancock | Dentist | 367 Nh 120, Lebanon, NH 03766-1430 | 2020-07-09 |
| 1386295434 | Zarna Patel | Dentist | 1451 Quentin Rd Ste 300, Lebanon, PA 17042-7562 | 2019-09-20 |
| 1932639044 | Carson James Stroyan | Dentist | 11 Eldridge St Ste 300, Lebanon, NH 03766-1022 | 2017-06-13 |
| 1083142483 | Horton Scott Li | Dentist | 604 S Cumberland St Ste 200, Lebanon, TN 37087-4794 | 2017-05-30 |
| 1548712151 | Patel Dental Group of Upper Valley | Dentist | 11 Eldridge St, Suite #300, Lebanon, NH 03766-1022 | 2016-10-30 |
| 1235584913 | Temicka Terrell | Dentist | 1037 W Main St Ste E, Lebanon, TN 37087-3356 | 2016-04-29 |
| 1215340880 | Eriks Dental, PC | Dentist | 1338 S Lebanon St Ste 100, Lebanon, IN 46052-2792 | 2014-06-11 |
| 1497043178 | Jacob Eldon Frazier | Dentist | 110 Wakanda Dr, Lebanon, IL 62254-1393 | 2011-07-15 |
| 1740592633 | John David Hirce | Dentist | 367 Route 120 Unit D, Lebanon, NH 03766-1430 | 2010-07-08 |
| Find all providers in LEBANON | ||||
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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.