Active NPIIndividual provider

Dr. Edward Detolla, DDS

Dentist in Meredith, New Hampshire

NPI Number1063614501
Practice location
146 Route 25, Meredith, NH 03253
Fax
603-279-8200
Last updated
July 8, 2007

Edward Detolla is a Dentist based in Meredith, NH. Edward Detolla practices in Meredith, NH and has the professional credentials of DDS. The NPI Number for Edward Detolla is 1063614501 and holds a License No. 3467 (NH). The current practice location address for Edward Detolla is 146 Route 25, Meredith, NH 03253 and can be reached out via phone at 603-279-8200 and via fax at 603-279-8200.

Provider Profile Details

NPI Number
1063614501
Provider Name
Edward Detolla
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
146 Route 25, Meredith, NH 03253
Phone Number
603-279-8200
Fax Number
603-279-8200
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
146 Route 25
Meredith, NH 03253
Zip
03253
Phone Number
603-279-8200
Fax Number
603-279-8200
Meredith, NH 03253Get directions →

Provider Business Mailing Address Details

Address
12 Serenity Lane
Meredith, NH 03253
City
Meredith
State
NH
Zip
03253
Phone Number
603-279-9980
Fax Number
603-279-8200

License Information

License Number
3467
License State
NH
Taxonomy
Dentist · 122300000X · 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 Dr. Edward Detolla, DDS?

The NPI number of Dr. Edward Detolla, DDS is 1063614501. It was assigned on June 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Edward Detolla, DDS?

Dr. Edward Detolla, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NH under license number 3467.

Where does Dr. Edward Detolla, DDS practice?

The practice location is 146 Route 25, Meredith, NH 03253. The office can be reached at 603-279-8200 (phone) or 603-279-8200 (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 1063614501 directly on the NPPES registry website.

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