Individual
DR. MARTIN LEO CHAPUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
298 WHITE MOUNTAIN HWY, CONWAY, NH 03818-4204
(603) 447-8900
Mailing address
209 PEQUAWKET TRL, FREEDOM, NH 03836-4435
(603) 539-6670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03517
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03517
DELTA DENTAL
NH
05
—
30304433
—
NH
Enumeration date
11/29/2006
Last updated
07/09/2007
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