Individual
SAMUEL ROBERT DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30 PINKERTON ST, DERRY, NH 03038-1504
(603) 703-7212
Mailing address
70 COBBLESTONE LN, MANCHESTER, NH 03109-5942
(603) 703-7212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05228
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2024
Last updated
07/14/2025
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