# LONDONDERRY ORAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1992806681
- **Authorized official:** MRS. DONNA L REDSHAW (OFFICE STAFF)
- **Authorized official phone:** (603) 893-7601

## Contact information

- **Practice address:** 12 PARMENTER RD, UNIT A2, LONDONDERRY, NH 03053-3280
- **Practice address phone:** (603) 893-7601
- **Practice address fax:** (603) 890-1179
- **Mailing address:** 12 PARMENTER RD, UNIT A2, LONDONDERRY, NH 03053-3280
- **Mailing address phone:** (603) 893-7601
- **Mailing address fax:** (603) 890-1179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 14368 | MA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 20461 | MA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 21107 | MA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3052 | NH | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3265 | NH | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3422 | NH | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 03/24/2008