Individual
KONSTANTINOS MEGKOUSIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1045 HANOVER ST UNIT B, MANCHESTER, NH 03104-5898
(603) 815-9200
Mailing address
4 TUSCAN BLVD UNIT 515, SALEM, NH 03079-5413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
04944
NH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
04944
NH
390200000X
Student in an Organized Health Care Education/Training Program
DL15968
MA
Other
Enumeration date
12/26/2023
Last updated
02/17/2025
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