Organization
GRACE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX L MCCULLOCH DDS (DENTIST PARTNER)
(603) 225-6650
Entity
Organization
Contact information
Practice address
143 AIRPORT RD, CONCORD, NH 03301
(603) 225-6650
(603) 225-9495
Mailing address
143 AIRPORT RD, CONCORD, NH 03301
(603) 225-6650
(603) 225-9495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1478
NH
122300000X
Dentist
Primary
1604
NH
122300000X
Dentist
2389
NH
122300000X
Dentist
3170
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206510Y0NH01
BLUE CROSS FEDERAL
NH
05
—
30004745
—
NH
Enumeration date
04/18/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us