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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