NPI 1225429335

Upper Valley Pediatric Dentistry, PC

Organisation Preferred Provider Organization West Lebanon, NH

Practice location

Address: 30 Airport Rd Suite 7, West Lebanon, NH 03784-1664
Phone: (908) 892-2763

Authorised official

Name: Eileen Saunders
Title: Pediatric Dentist
Phone: (908) 892-2763

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 03983 (NH)

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Registry record

NPI: 1225429335
Entity type: Organization
NPI issued: 10 Feb 2015
Record last updated: 1 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.