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DOVER PEDIATRICS PLLC NPI 1558448019


NPI Information

NPI: 1558448019
Provider Name: DOVER PEDIATRICS PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 30D0087089

Address:
17 OLD ROLLINSFORD RD
SUITE 5
DOVER, NH
ZIP 03820
Phone: (603) 742-4048
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DOVER PEDIATRICS PLLC is a pediatrics in Dover, NH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DOVER PEDIATRICS PLLC NPI is 1558448019. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17 OLD ROLLINSFORD RD
SUITE 5
DOVER, NH
ZIP 03820-833
Phone: (603) 742-4048
Fax: (603) 743-3345

The provider's authorized official is Eugene R Soares .
The authorized official title is Partner and has the following contact phone number (603) 742-4048.

The CLIA number assigned to this NPI record is 30D0087089 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
140217649MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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