Organization
NORTH COUNTRY ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS HANNON D.D.S. (OWNER)
(603) 444-0003
Entity
Organization
Contact information
Practice address
262 COTTAGE ST, SUITE 301, LITTLETON, NH 03561-4143
(603) 444-0003
(603) 444-9401
Mailing address
262 COTTAGE ST, SUITE 301, LITTLETON, NH 03561-4143
(603) 444-0003
(603) 444-9401
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3475
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02Y011170NH01
ANTHEM
NH
05
—
30308008
—
NH
Enumeration date
06/26/2007
Last updated
11/15/2010
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