CHESTNUT FAMILY DENTAL LLC NPI 1295956944

NPI Information

NPI: 1295956944
Provider Name: CHESTNUT FAMILY DENTAL, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
745 CHESTNUT ST
MANCHESTER, NH
ZIP 03104
Phone: (603) 622-7173
Get Directions

CHESTNUT FAMILY DENTAL, LLC is a dental clinic center in Manchester, NH. CHESTNUT FAMILY DENTAL, LLC NPI is 1295956944. The provider is registered as an organization entity type.

The provider's business location address is:

745 CHESTNUT ST
MANCHESTER, NH
ZIP 03104-002
Phone: (603) 622-7173
Fax: (603) 668-2709

The provider's authorized official is Karen Anne Kenney .
The authorized official title is Office Manager and has the following contact phone number (603) 622-7173.

The enumeration date for this NPI number is 5/1/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	3178	NEW HAMPSHIRE	No
2	261QD0000X	Clinic/Center	Dental	3147	NEW HAMPSHIRE	Yes

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	Other Provider Identifier Issuer
1	30303489	MEDICAID	NEW HAMPSHIRE
2	30301213	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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »