Mascoma Dental Associates,Pllc

LBN: Mascoma Dental Associates,Pllc
Mascoma Dental Associates,Pllc is an health care organization with primary practice located at 2 Campbell St , Lebanon NH 03766-1304. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mascoma Dental Associates,Pllc can be contacted via phone (603) 448-4200, or through Knights, Calvin Roy via phone (603) 448-4200.

Contact Information

Primary practice address
2 Campbell St Lebanon NH 03766-1304
Phone: (603) 448-4200
Fax: (603) 448-6424
Website:
Map and Directions
Authorized official contact:
Name: Knights, Calvin Roy Doctor of Dental Medicine (DMD)
Phone: (603) 448-4200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X New Hampshire

Profile Details

NPI number 1578622726
LBN Legal business name Mascoma Dental Associates,Pllc
DBA Doing business as
Authorized official Knights, Calvin Roy Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578622726 NPPES
New Hampshire MEDICAID 30311259

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