KEENE PERIODONTIC SPECIALISTS LLC NPI 1275602179

NPI Information

KEENE PERIODONTIC SPECIALISTS LLC is a periodontics dentist in Keene, NH. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. KEENE PERIODONTIC SPECIALISTS LLC NPI is 1275602179. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

222 WEST ST
SUITE 14
KEENE, NH
ZIP 03431-455
Phone: (603) 352-0099

The provider's authorized official is Jeffrey William Rodden .
The authorized official title is Managing Member and has the following contact phone number (603) 352-0099.

The enumeration date for this NPI number is 11/6/2006 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:

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