DR. JAY ALLAN NESVOLD DDS NPI 1063485654

NPI Information

NPI: 1063485654
Provider Name: DR. JAY ALLAN NESVOLD, DDS
Classification: Dentist - 1223D0001X
Entity Type: Individual

Specialization: Dental Public Health

Address:
278 LAFAYETTE ROAD
BLDG E
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 430-9009
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DR. Jay Allan Nesvold, DDS is a dental public health dentist in Portsmouth, NH. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. DR. Jay Allan Nesvold, DDS NPI is 1063485654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

278 LAFAYETTE ROAD
BLDG E
PORTSMOUTH, NH
ZIP 03801-455
Phone: (603) 430-9009

The enumeration date for this NPI number is 2/13/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223D0001X	Dentist	Dental Public Health	21460	MASSACHUSETTS	Yes
2	1223G0001X	Dentist	General Practice	21460	MASSACHUSETTS	X
3	1223G0001X	Dentist	General Practice	3293	NEW HAMPSHIRE	X
4	1223G0001X	Dentist	General Practice	D11553	MINNESOTA	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	V07206	MEDICARE UPIN	NEW HAMPSHIRE
2	X20150	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	1201514	MEDICAID	MASSACHUSETTS
4	30303822	MEDICAID	NEW 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: 11/14/2023

NPI Synchronization or Removal

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