Active NPIIndividual providerSole proprietor

Ronen Mavashev

Dentist in Derry, New Hampshire

NPI Number1336978188
Practice location
55 E Broadway Unit 1, Derry, NH 03038-2401
Fax
—
Last updated
January 12, 2026

Ronen Mavashev is a Dentist based in Derry, NH. Ronen Mavashev practices in Derry, NH. The NPI Number for Ronen Mavashev is 1336978188 and holds a License No. 110391 (CA). The current practice location address for Ronen Mavashev is 55 E Broadway Unit 1, Derry, NH 03038-2401 and can be reached out via phone at 603-945-1287.

Provider Profile Details

NPI Number
1336978188
Provider Name
Ronen Mavashev
Provider Entity Type
Individual
Gender
Male
Address
55 E Broadway Unit 1, Derry, NH 03038-2401
Phone Number
603-945-1287
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
July 30, 2024
Last Update Date
January 12, 2026
Certification Date
January 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 E Broadway Unit 1
Derry, NH 03038-2401
City
Derry
Zip
03038-2401
Phone Number
603-945-1287
Derry, NH 03038Get directions →

Provider Business Mailing Address Details

Address
55 E Broadway Unit 1
Derry, NH 03038-2401
City
Derry
State
NH
Zip
03038-2401
Phone Number
603-945-1287

License Information

License Number (1)
110391
License State (1)
CA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
30.028235
License State (2)
OH
Taxonomy (2)
Dentist · 122300000X · Primary
License Number (3)
05159
License State (3)
NH
Taxonomy (3)
Dentist · 122300000X

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 Ronen Mavashev?

The NPI number of Ronen Mavashev is 1336978188. It was assigned on July 30, 2024 and is currently active in the NPPES registry.

What is the specialty of Ronen Mavashev?

Ronen Mavashev is registered under the primary taxonomy Dentist (code 122300000X), licensed in CA under license number 110391.

Where does Ronen Mavashev practice?

The practice location is 55 E Broadway Unit 1, Derry, NH 03038-2401. The office can be reached at 603-945-1287 (phone).

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 1336978188 directly on the NPPES registry website.

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