Organization
CHESHIRE MEDICAL CENTER
Active
Other names
Cheshire Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOELLYN STACK RD, LD, MPH (COMMUNITY HEALTH PROGRAM MANAGER)
(603) 354-5400
Entity
Organization
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5494
Mailing address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5494
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30532724
—
NH
Enumeration date
02/21/2008
Last updated
02/21/2008
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