Organization
VACHON DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R VACHON D.M.D. (OWNER)
(603) 627-2092
Entity
Organization
Contact information
Practice address
57 WEBSTER STREET, MANCHESTER, NH 03104-2552
(603) 627-2092
(603) 606-3398
Mailing address
57 WEBSTER STREET, MANCHESTER, NH 03104-2552
(603) 627-2092
(603) 606-3398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3799
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077699
—
NH
Enumeration date
09/17/2010
Last updated
05/04/2017
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