Northeastern Pediatric Dental

LBN: Northeastern Pediatric Dental
Northeastern Pediatric Dental is an health care organization with primary practice located at 78 Northeastern Blvd Suite 6, Nashua NH 03062. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Northeastern Pediatric Dental can be contacted via phone (603) 880-5002, or through Kalali, Mina H via phone (603) 880-5002.

Contact Information

Primary practice address
78 Northeastern Blvd Suite 6 Nashua NH 03062
Phone: (603) 880-5002
Fax: (603) 880-1877
Website:
Map and Directions
Authorized official contact:
Name: Kalali, Mina H Doctor of Dental Medicine (DMD)
Phone: (603) 880-5002

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3374 New Hampshire

Profile Details

NPI number 1326216680
LBN Legal business name Northeastern Pediatric Dental
DBA Doing business as
Authorized official Kalali, Mina H Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2008
Last updated Feb 20th, 2008 - about 18 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 1326216680 NPPES
New Hampshire MEDICAID 30303168

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