Individual
RICHARD NIEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2 DELTA DR, #302, CONCORD, NH 03301
(917) 280-5920
(617) 262-4021
Mailing address
2 DELTA DR, #302, CONCORD, NH 03301
(917) 280-5920
(617) 262-4021
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
05001
NH
1223P0300X
Periodontics
13692
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3143662
—
NH
Enumeration date
05/08/2007
Last updated
03/12/2025
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