Organization
COOS COUNTY FAMILY HEALTH SERVICES, INC
Active
Other names
Coos County Family Dental - Berlin Site
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH E GORDON (CEO)
(603) 752-3669
Entity
Organization
Contact information
Practice address
54 WILLOW ST, BERLIN, NH 03570-2084
(603) 752-2424
Mailing address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-2204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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