Organization
NORTHEAST ENDODONTIC SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN TODD JACKSON D.M.D. (PRESIDENT, OWNER)
(603) 661-7702
Entity
Organization
Contact information
Practice address
382 DANIEL WEBSTER HWY, MERRIMACK, NH 03054-1583
(603) 423-0400
(603) 423-0401
Mailing address
PO BOX 1583, MERRIMACK, NH 03054-1583
(603) 423-0400
(603) 423-0401
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3049
NH
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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