Organization
CONCORD ORAL SURGERY PROFESSIONAL ASSOCIATION
Active
Organization
CONCORD ORAL SURGERY PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK M. SCURA D.M.D. (PRESIDENT)
(603) 225-3482
Entity
Organization
Contact information
Practice address
194 PLEASANT ST, SUITE 13, CONCORD, NH 03301-2952
(603) 225-3482
(603) 224-2331
Mailing address
194 PLEASANT ST, SUITE 13, CONCORD, NH 03301-2952
(603) 225-3482
(603) 224-2331
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2186
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053
NORTHEAST DELTA DENTAL
NH
01
—
129
CIGNA
NH
05
—
89191315
—
NH
01
—
CONC1315
BLUE CROSS/BLUE SHIELD
NH
01
—
H000186
CHAMPUS
NH
Enumeration date
05/16/2006
Last updated
01/14/2015
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