NPI 1609123140

Bayside Dental

Organisation Preferred Provider Organization Alton, NH

Practice location

Address: 291 Main St., Alton, NH 03809
Phone: (603) 855-2017
Mailing address: PO Box 670, Alton, NH 03809-0670

Authorised official

Name: Viena Posada
Title: Dentist
Phone: (603) 855-2017

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 03588 (NH)

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Registry record

NPI: 1609123140
Entity type: Organization
NPI issued: 14 Aug 2012
Record last updated: 14 Aug 2012

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.