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Organization

LINCOLN PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICK F. CAPOZZI DDS (MANAGER)
(603) 745-7266
Entity
Organization

Contact information

Practice address
25 SOUTH MOUNTAIN RD., LINCOLN, NH 03251
(603) 745-7266
Mailing address
PO BOX 699, 25 SO. MTN. DR., A-3, LINCOLN, NH 03251
(603) 745-7266

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
3561
NH
302F00000X
Exclusive Provider Organization
3893
NH
302F00000X
Exclusive Provider Organization
3970
NH
302R00000X
Health Maintenance Organization
3005
NH
302R00000X
Health Maintenance Organization
Primary
3985
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3071172
NH
05
3071357
NH
05
3077206
NH
05
3078338
NH
05
3082161
NH
05
3085887
NH
Enumeration date
04/13/2015
Last updated
04/13/2015
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