# DANIEL H DE TOLLA, D.D.S., M.D., PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DANIEL H DE TOLLA, D.D.S., M.D., PA
- **Other names:** Seacoast Dental Implant & Oral Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316850944
- **Legal business name:** DANIEL H DE TOLLA, D.D.S., M.D., PA
- **Authorized official:** MICHAELA MUNIZ (VP, PAYOR RELATIONS)
- **Authorized official phone:** (469) 324-3242

## Contact information

- **Practice address:** 200 GRIFFIN ROAD SUITE 8, PORTSMOUTH, NH 03803-4580
- **Practice address phone:** (603) 436-3608
- **Mailing address:** 200 GRIFFIN ROAD SUITE 8, PORTSMOUTH, NH 03803-4580
- **Mailing address phone:** (603) 436-3608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | — |

## Other

- **Enumeration date:** 09/24/2026
- **Last updated:** 10/05/2026