Organization
FRED W. SALVATORIELLO DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED WILLIAM SALVATORIELLO DMD (PRESIDENT)
(603) 643-2170
Entity
Organization
Contact information
Practice address
3 SUMMER ST, HANOVER, NH 03755-2121
(603) 643-2170
(603) 643-2176
Mailing address
3 SUMMER ST, HANOVER, NH 03755-2121
(603) 643-2170
(603) 643-2176
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
016-0001165
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001878
—
VT
05
—
89191878
—
NH
Enumeration date
07/27/2006
Last updated
08/22/2020
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