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JONATHAN C PALAZZO DMD PLLC NPI 1265679146


NPI Information

NPI: 1265679146
Provider Name: JONATHAN C PALAZZO DMD PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1140 SOMERVILLE ST
MANCHESTER, NH
ZIP 03103
Phone: (603) 624-4313
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JONATHAN C PALAZZO DMD PLLC is a general practice dentist in Manchester, NH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JONATHAN C PALAZZO DMD PLLC NPI is 1265679146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1140 SOMERVILLE ST
MANCHESTER, NH
ZIP 03103-847
Phone: (603) 624-4313

The provider's authorized official is Jonathan C Palazzo .
The authorized official title is Manager/owner and has the following contact phone number (603) 624-4313.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 1/14/2009.


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
11223G0001XDentistGeneral Practice3381NEW HAMPSHIREYes

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
130302720MEDICAIDNEW 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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