Santavicca, Angela Jean

Santavicca, Angela Jean is an individual health care provider with primary practice located at 367 State Route 120 Unit C, Lebanon NH 03766-1430. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Santavicca, Angela Jean can be contacted via phone (603) 643-4142.

Contact Information

Primary practice address

367 State Route 120 Unit C Lebanon NH 03766-1430

Phone: (603) 643-4142

Fax: (603) 643-1740

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	2648	New Hampshire

Profile Details

NPI number	1528199478
LBN Legal business name	Santavicca, Angela Jean
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Mar 9th, 2007
Last updated	Jul 9th, 2007 - about 19 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1528199478	NPPES
New Hampshire	Other	2648	NH DENTAL LICENSE
New Hampshire	MEDICAID	30310640	NH DENTAL LICENSE

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