Organization
PISCATAQUA DENTAL PARTNERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WILLIAM YEATON DDS (PRESIDENT)
(603) 431-4559
Entity
Organization
Contact information
Practice address
288 LAFAYETTE ROAD, SUITE 1, PORTSMOUTH, NH 03801
(603) 431-4559
(603) 431-7560
Mailing address
288 LAFAYETTE ROAD, SUITE 1, PORTSMOUTH, NH 03801
(603) 431-4559
(603) 431-7560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010386
—
NH
01
—
460017
UNITED CONCORDIA
—
Enumeration date
08/28/2006
Last updated
08/22/2020
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