Organization
WENTWORTH-DOUGLASS COMMUNITY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL DEGENAARS (EXECUTIVE DIRECTOR OF FINANCE)
(603) 740-2806
Entity
Organization
Contact information
Practice address
668 CENTRAL AVE, DOVER, NH 03820
(603) 749-3013
(603) 749-2915
Mailing address
668 CENTRAL AVE, DOVER, NH 03820-3414
(603) 749-3013
(603) 749-2915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081310
—
NH
Enumeration date
11/06/2006
Last updated
12/17/2025
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