Organization
GLIMMER ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JI HYUN TAHK DMD, MS (OWNER DENTIST)
(603) 912-7878
Entity
Organization
Contact information
Practice address
25 PELHAM RD STE 104, SALEM, NH 03079-4872
(603) 912-7878
(603) 912-7572
Mailing address
25 PELHAM RD STE 104, SALEM, NH 03079-4872
(603) 912-7878
(603) 912-7572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04811
DENTAL LICENSE
NH
Enumeration date
02/03/2025
Last updated
02/03/2025
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