Organization
GREATVIEW DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL JOHN LEMERIS DMD (SOLE MEMBER)
(603) 778-9630
Entity
Organization
Contact information
Practice address
14 HAMPTON RD, EXETER, NH 03833-4808
(603) 778-9630
(603) 778-8466
Mailing address
14 HAMPTON RD, EXETER, NH 03833-4808
(603) 778-9630
(603) 778-8466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1094
NH
1223G0001X
General Practice Dentistry
Primary
3489
NH
1223P0300X
Periodontics
3121
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30304392
—
NH
Enumeration date
12/17/2009
Last updated
12/17/2009
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