# EXETER DENTAL IMPLANT AND ORAL SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063024487
- **Authorized official:** MRS. HAILEY ELIZABETH GROLEAU (MANAGER)
- **Authorized official phone:** (603) 527-8057

## Contact information

- **Practice address:** 21 HAMPTON RD STE 202, EXETER, NH 03833-4800
- **Practice address phone:** (603) 773-3333
- **Practice address fax:** (603) 718-3096
- **Mailing address:** 21 HAMPTON RD STE 202, EXETER, NH 03833-4800
- **Mailing address phone:** (603) 773-3333
- **Mailing address fax:** (603) 718-3096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 08/18/2020