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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