Active NPIIndividual providerSole proprietor

Samuel R Dolan, DMD

Dentist, General Practice in Derry, New Hampshire

NPI Number1487483566
Practice location
30 Pinkerton St, Derry, NH 03038-1504
Fax
—
Last updated
July 14, 2025

Samuel Robert Dolan is a Dentist, General Practice based in Derry, NH. Samuel Robert Dolan practices in Derry, NH and has the professional credentials of DMD. The NPI Number for Samuel Robert Dolan is 1487483566 and holds a License No. 05228 (NH). The current practice location address for Samuel Robert Dolan is 30 Pinkerton St, Derry, NH 03038-1504 and can be reached out via phone at 603-703-7212.

Provider Profile Details

NPI Number
1487483566
Provider Name
Samuel Robert Dolan
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
30 Pinkerton St, Derry, NH 03038-1504
Phone Number
603-703-7212
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
July 29, 2024
Last Update Date
July 14, 2025
Certification Date
July 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Pinkerton St
Derry, NH 03038-1504
City
Derry
Zip
03038-1504
Phone Number
603-703-7212
Derry, NH 03038Get directions →

Provider Business Mailing Address Details

Address
70 Cobblestone Ln
Manchester, NH 03109-5942
City
Manchester
State
NH
Zip
03109-5942
Phone Number
603-703-7212

License Information

License Number (2)
05228
License State (2)
NH
Taxonomy (2)
Dentist, General Practice · 1223G0001X · 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 Samuel R Dolan, DMD?

The NPI number of Samuel R Dolan, DMD is 1487483566. It was assigned on July 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Samuel R Dolan, DMD?

Samuel R Dolan, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NH under license number 05228.

Where does Samuel R Dolan, DMD practice?

The practice location is 30 Pinkerton St, Derry, NH 03038-1504. The office can be reached at 603-703-7212 (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 1487483566 directly on the NPPES registry website.

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