Organization
COOS COUNTY FAMILY HEALTH SERVICES
Active
Parent organization
COOS COUNTY FAMILY HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOS COUNTY FAMILY HEALTH SERVICES
Authorized official
KENNETH GORDON (CEO)
(603) 752-3669
Entity
Organization
Contact information
Practice address
73 MAIN STREET, BERLIN, NH 03570
(603) 752-2424
(603) 752-2436
Mailing address
133 PLEASANT STREET, BERLIN, NH 03570
(603) 752-2040
(603) 752-1709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
04258
NH
1223G0001X
General Practice Dentistry
01275
NH
1223G0001X
General Practice Dentistry
Primary
1275
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30301511
—
NH
Enumeration date
06/08/2007
Last updated
11/17/2016
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