Organization
WILLLIAM A. MEHAN, DMD PROFESSIONAL ASSOC.
Active
Organization
WILLLIAM A. MEHAN, DMD PROFESSIONAL ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A. MEHAN DMD (PRESIDENT)
(603) 623-8003
Entity
Organization
Contact information
Practice address
113 MAMMOTH RD, MANCHESTER, NH 03109-4337
(603) 623-8003
(603) 623-1191
Mailing address
113 MAMMOTH RD, MANCHESTER, NH 03109-4337
(603) 623-8003
(603) 623-1191
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1423
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1423
DENTAL LICENSE NUMBER
NH
Enumeration date
05/08/2007
Last updated
08/22/2020
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