Active NPIOrganization

Hanover Oral Surgery PLLC

Clinic/Center, Oral and Maxillofacial Surgery in Lebanon, New Hampshire

NPI Number1043636616
Practice location
367 Route 120, Unit E-1, Lebanon, NH 03766-1430
Fax
603-643-1702
Last updated
March 6, 2014

Hanover Oral Surgery PLLC is a healthcare organization based in Lebanon, NH. Hanover Oral Surgery PLLC practices in Lebanon, NH. The NPI Number for Hanover Oral Surgery PLLC is 1043636616 and holds a License No. 03746 (NH). The current practice location address for Hanover Oral Surgery PLLC is 367 Route 120, Unit E-1, Lebanon, NH 03766-1430 and can be reached out via phone at 603-643-1700 and via fax at 603-643-1702.

Provider Profile Details

NPI Number
1043636616
Provider Name
Hanover Oral Surgery PLLC
Provider Entity Type
Organization
Address
367 Route 120, Unit E-1, Lebanon, NH 03766-1430
Phone Number
603-643-1700
Fax Number
603-643-1702
Primary Taxonomy
Clinic/Center, Oral and Maxillofacial Surgery · 261QS0112X
Organization Subpart
No
Authorized Official
Dr. Terry W Bradigan, DDS · Owner · 603-643-1700
Provider Enumeration Date
March 6, 2014
Last Update Date
March 6, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
367 Route 120
Unit E-1
Lebanon, NH 03766-1430
Zip
03766-1430
Phone Number
603-643-1700
Fax Number
603-643-1702
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
367 Route 120
Unit E-1
Lebanon, NH 03766-1430
City
Lebanon
State
NH
Zip
03766-1430
Phone Number
603-643-1700
Fax Number
603-643-1702

License Information

License Number (1)
03746
License State (1)
NH
License Number (2)
2601
License State (2)
NH
Taxonomy (2)
Clinic/Center, Oral and Maxillofacial Surgery · 261QS0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Hanover Oral Surgery PLLC?

The NPI number of Hanover Oral Surgery PLLC is 1043636616. It was assigned on March 6, 2014 and is currently active in the NPPES registry.

What is the specialty of Hanover Oral Surgery PLLC?

Hanover Oral Surgery PLLC is registered under the primary taxonomy Clinic/Center, Oral and Maxillofacial Surgery (code 261QS0112X), licensed in NH under license number 03746.

Where does Hanover Oral Surgery PLLC practice?

The practice location is 367 Route 120, Unit E-1, Lebanon, NH 03766-1430. The office can be reached at 603-643-1700 (phone) or 603-643-1702 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043636616 directly on the NPPES registry website.

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